Community Leaders Internship Program (CLIP) Application

Contact Information:
Name: ________________________________________________________________________
UWM Email: ____________________________ Phone Number: _________________________
Address: ______________________________________________________________________

______________________________________________________________________________
Year in School: ___________________

How did you find out about this opportunity?

_________________________________________

Are you currently receiving Federal Work-Study? YES NO

Do you plan to have an on-campus job during the 16-17 academic year? YES
NO

Availability:
Hours youre able to commit per week (please list a number between 2 and 15):
_____________

Days and Times Available To Work:

Sunday Monday Tuesday WednesdayThursday Friday Saturday

Site Preference:
UWMs Community Leaders Internship Program works with both non-profit sites
and public schools. Please list the position youre interested in:
Non-Profit Site Position
America Reads Tutoring Position

Site Preference #1 (if any): ___________________________________________________

Site Preference #2 (if any): ___________________________________________________

Do you have a car? Are you willing to take the bus to your site?

Please send in a completed copy of this application, along with a one-page

personal statement (stating why youre interested in a position with the
Community Leaders Internship Program and why this program would enhance your
college experience) to Union G28 or to nmglaser@uwm.edu.