Internship & Community Service Application

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone

City *

State *

Zip *

Date of Birth * The date field Date of Birth is required.

Preferred Phone * The phone field Preferred Phone is required.

Phone Type? * The field Phone Type? is required.

Can receive texts? * The field Can receive texts? is required.

Email 2 The maximum length for the field Email 2 is 500 characters.

Phone 2 The field Phone 2 must be a phone number.

Phone Type?

Number of Hours Needed? * The field Number of Hours Needed? is required.

Required completion date The field Required completion date must be a date.

School Information

Please complete the following information if your internship or community service is a requirment or elective associated with a school, college, or university.

Please note internships are currently available in Massachusetts only.

School Type

School Name The maximum length for the field School Name is 500 characters.

Program/Course of Study The maximum length for the field Program/Course of Study is 500 characters.

School Address The maximum length for the field School Address is 500 characters.

School City The maximum length for the field School City is 500 characters.

School State The maximum length for the field School State is 500 characters.

School Zip The maximum length for the field School Zip is 500 characters.

Anticipated Graduation Date The field Anticipated Graduation Date must be a date.

Community Service Information

Please complete the following information if your volunteer time will fulfill a required or elective Community Service obligation. This includes graduation requirements, social groups (e.g. scouts, fraternal organizations, community groups, businesses etc), or other mandated community service.

Community Service * The field Community Service is required.

Community Service Type * The field Community Service Type is required.

School/Program Contact The maximum length for the field School/Program Contact is 500 characters.

Title The maximum length for the field Title is 500 characters.

Preferred Phone The maximum length for the field Preferred Phone is 500 characters.

Phone Type?

In a few words, please let us know why you would like to volunteer as an intern or complete your community service with AccesSportAmerica.

Why ASA? The maximum length for the field Why ASA? is 5000 characters.

Thank you for applying for an internship or community service opportunity with AccesSportAmerica. Submission of this application does not guarantee placement.

Once submitted please allow at least 72 business hours for one of our staff to get back you you.