Poudre Learning Center Internship Application

Students interested in a PLC Internship should also arrange an interview with the PLC staff once this application has been submitted. Appointments may be made via phone or email.

To apply for a PLC Internship position, please review the following criteria. If you meet the requirements, check the "I Agree" box. (Check all that apply)

Due to the nature of our responsibility to our students and staff, all persons who interact with them must be screened. Please complete this application so that we have the information necessary to complete the required background check and provide you with the best opportunities to volunteer.

In order for The Poudre Learning Center to complete the processing internship or volunteer applications, I understand a routine local and state criminal background check may be conducted. Results will remain confidential. I also understand and agree to any background inquiries of agencies, which maintain records of my past activities. I authorize, without reservation, any party or agency contacted to furnish the above-mentioned in accordance with all federal and state laws.

PRIVACY ACT STATEMENT Following information is provided to comply with the Privacy Act (PL 93-579). 5 U.S.C. 301 and 7 CFR 260 authorize acceptance of the information requested on this form. The data will be used to contact applicants and to interview, screen, and select them for volunteer assignments. Furnishing this data is voluntary.

By submitting this form electronically you certify that all information supplied in this application is accurate and complete.