Applications: Student Member

Student Membership Application

* Indicates required field

Do you agree to the NAFAT Confidentiality Terms? *

I have read and agree to the confidentiality terms made available I decline to agree to the confidentiality terms made available

Applicant Name *

First

Last

Applicant Email *

Applicant Phone Number *

How did you hear about NAFAT? *

If "Other" please indicate source below *

Are you any of the following? *

Student Intern Recent Graduate

Reference *

First

Last

Reference Phone Number *

Reference Email *

Student Information

School *

Area of Study/Academic Program *

Relevant Coursework *

School Address *

Line 1

Line 2

City

State

Zip Code

Country

Advisor Name *

First

Last

Advisor Email *

Advisor Phone Number *

Intern Information

Internship Position or Program *

Start Date *

End Date *

Internship Address *

Line 1

Line 2

City

State

Zip Code

Country

Skills *

Internship Supervisor Name *

First

Last

Internship Supervisor Email *

Internship Supervisor Phone *

Required Documents

Upload File *

Max file size: 20MB

Comments *