Viva Productions

Applicant Information

Name of Applicant:

Address:

City:

Province:

Postal Code:

Home Phone:

Cell Phone:

Email Address:

Date of Birth:

Applicant Education

Present University or Institutional affiliation:

Area of study:

Degree expected: Bachelor Masters Other

Date degree will be granted (Day/Month/Year):

Program Contact Name:

Title:

Email:

Phone:

Will you receive credit hours for an internship through your school?

Yes

No

Applicant Skills

Please list relevant accomplishments that qualify you for the internship requested:

Please list relevant work experience that qualify you for the internship requested:

Other Skills / Abilities:

Computer Software in which you are proficient:

Applicant Information

Briefly explain your reasons for applying to the Viva Productions Internship Program.
(Please include specific objectives, and expected benefits of the internship)

Requested dates for Internship
(Viva Productions only accepts interns for a minimum of 2 weeks and a maximum of 6 months)

From:

To:

Preferred hours for Internship (please check one)

Full-time (40 hours per week):

Part-time (please specify the hours requested and why below):

Disclaimer

Statement of understanding of the conditions of the Internship

I understand that, should I be accepted as an intern in Viva Productions Inc., the following conditions will apply:

a) Status: Although not considered a staff member of Viva Productions Inc., I shall be subject to the authority of the Administrator. I understand that I am not entitled to the privileges accorded to Viva Productions Inc.

b) Financial Support: I shall not be paid by Viva Productions Inc. and must make my own arrangements for living expenses. Travel costs to and from the place of business and all required work locations and living accommodation are also my own responsibility or those of the sponsoring institution.

c) Medial Health and Life Coverage: Viva Productions Inc. accepts no responsibility for costs or fatality arising from illness or accidents incurred during the internship; therefore, I must carry adequate and regular medical and life insurance. I will be covered by the following health and life insurance during the internship period (your application will not be processed unless you provide this information!).

Medical:

Life:

d) Confidentiality and Publication of Information: As an intern, I will respect the confidentiality of information that I collect or am exposed to at Viva Productions Inc. No reports or papers may be published based on information obtained from Viva Productions Inc. without the explicit written authorization of the President & CEO of Viva Productions Inc.

f) Employment Prospects: The Viva Productions Internship Program is not connected with employment and there is no expectancy of such. Interns cannot apply for posts advertised internally to Viva Productions staff during the period of internship.