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Date:
Name:
School (College/University):
Major:
Expected Graduation Date:
OR
Date Graduated:
Extracurricular Activities or Interests:
Career Interests:
Horse Experience:
Desired Internship Focus (Check all that apply):
Broodmares/Foals
Yearlings
Other
Timeline of Availability:
Any health concerns that may affect ability to perform job as described:
Yes
No
If "yes", please specify:
Attach Resume/References: