Internship Application Form

Personal Information

Current Address

Mailing Address

Please note there is a $15 application fee. You will be redirected to a payment page in order to process this fee at the end of the application.

Application Information

Term & Concentration Options

Please note the following start / end months for each term (see for specific dates for this year):
  • Spring: February - May
  • Summer: May - August
  • Fall: September - December

What internship concentration area are you most interested in? (please check all that apply)
Very Interested Somewhat Interested Less Interested
Why Are You Interested?



Please provide contact information for 3 references. Please choose a variety of references that will be able to speak to your work ethic, character, and ability to live within community. References should not be family members.
Reference 1

Reference 2

Reference 3

Other Information

Important Information

See for details on program fees.

A Rocha Around the World

The details you supply will be stored by A Rocha Canada. All personal details will be stored in compliance with the Data Protection Act and will not be supplied to others without your permission.
Application Fee