(Please see the handbook if you are unsure.)

We ask for this information, so that we are able to run a basic background check, as well as for financial purposes. (When you fill out this application - you give us permission to run a basic background check, as well access your social for financial purposes.)

Please include name, title, and email address. You can add up to 2.

Please provide a name, phone number, and your relationship the contact.

This would include drinking, sex, drugs, porn or any other detrimental behavior.

Applications are valid for one full year in our system. Interviews will not be scheduled until enrollment is open for the trimester you are interested in - this will happen during break periods, or about one month prior to a trimesters start date. *Note: We are going into the FALL 2020 trimester. We file your application based on which trimester you choose. If you decide on a different trimester after you submit your application, please contact intern@elevate.life.

Applications are valid for one full year in our system. Interviews will not be scheduled until enrollment is open for the trimester you are interested in - this will happen during break periods, or about one month prior to a trimesters start date. *Note: We are going into the FALL 2019 trimester. We will file your application based on which trimester you choose. If you decide on a different trimester after you submit your application, please contact intern@elevate.life.

*Note: All 3rd year internship opportunities are subject to the area leaderships approval & upon availability.

Who nominated you? (name, title, & email)

Who is your mentor? (name, title, & email)

We have an A & B schedule you can choose from. A days are Tuesday/Thursday & B days are Wednesday/Friday. (Please see the Student Handbook for exact time-schedules.)

Please go into detail.

Please note that we need a minimum of 3 months to find a host home.

Each 1st-trimester intern is required to pay upfront (non-refundable) $1000 before they begin attending ELI to ensure your initial costs are covered for the program. (A normal payment schedule will follow after this initial payment & the payment will go towards the trimester total payment of $2000 - please see the Student Handbook for more information.)

The handbook can be found on our Student Handbook tab on our website.

(400 Word Minimum) - Where you have come from, where you are now, where you are going)

(Name, Job Title/Relationship, Phone #)

(Name, Job Title/Relationship, Phone #)

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