Team Internships Application Please leave this field empty. Required fields denoted with an asterisk * Personal Details TitleDRMRMISSMRSMS First Name Last Name Preferred Name Contact Number 1 Contact Number 2 Nationality Email Address 1 Email Address 2 Gender * MaleFemaleUndefined Postal Address Number and Street City State Postcode CountryArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe University Details You do not need to be a current university student to join this program and if you are a current student then you do not need to do the internship for credit. However, if you are a current student then we will work with you to meet the requirements from your university. University Name Student ID Number Course Name Current WAM/GPA/average mark Major 1 Major 2 Major 3 Are you doing this internship for credit at your university? YesNoUnsure If yes, what is the name of the unit that you will apply for? If yes, what is the name of the unit that you will apply for? Please provide any other information that you think may be of relevance to your application. Other Enrollment Information Program Details Please nominate the programs that you wish to apply for and the preference of each program. 2020 Mid-Year Team Internships—Please choose an option—Not Applying1st preference2nd preference3rd preference 2020 Nov-Dec Team Internships—Please choose an option—Not Applying1st preference2nd preference3rd preference 2021 Jan-Feb Team Internships—Please choose an option—Not Applying1st preference2nd preference3rd preference Would you like to do the week of language and culture in Yogyakarta before the internship?—Please choose an option—YesNoMaybe CV and Statement of Intent Please upload your CV. Note: Please put some time into this to ensure that it is representative of your achievements and capabilities, looks clean and has consistent formatting. Attach File * (5MB max) Please provide a statement of intent explaining the following: 1. Why you want to join this program? 2. What you are seeking from your internship (Field of work, corporation or not-for-profit, etc.) 3. What can you bring to an organisation? This will not be presented to any prospective organisations, but will be used by the International Internships team to help ensure that your internship site is the best fit possible. * Statement of Intent Other Do you speak any Indonesian (Note that this is NOT a requirement of the program)? * NoneBasicModerateFluent How did you hear about this program? *—Please choose an option—A friend who did it previouslyFrom a course adviserFrom your lecturerLecture visit by an International Internships team member or past participantEmail sent by your universityOnline info provided by your universityOnline searchOther Terms and Conditions * I have read the Terms And Conditions I have read and accept the Booking Conditions (Link opens in a new window) Yes, share my details I am happy for International Internships to share my contact details with other interns that will be in Indonesia at the same time as me. Please provide any other information that you think may be of relevance to your application. Other Information Send
