RESIDENCES AT GREEN LEAF - Interest Application 1048 S. Lauderdale St. Memphis, TN. 38126 Internship Program - Extended Learning Teacher Academy - Interest ApplicationKnowledge Quest offers an exciting opportunity for Postsecondary students majoring in the fields of PreK-12 Education, Fine Arts, Social Sciences, Agriculture, Clinical/Educational Counseling, or STEAM. This program provides housing for students participating in academic onsite learning. Under the general supervision of the assigned Program Director interns will assist with a wide variety of tasks centered around Knowledge Quest's Program goals. Each intern commits to 15 hours of volunteering in a Knowledge Quest program in exchange for dorm housing. Our studio apartments are 500 square ft, fully furnished with a kitchen, 1 bedroom, 1 bathroom, and free WIFI. The program requires a one-time security deposit of $250. The deposit will be returned provided no damages have occurred to the property during the tenant’s stay.What is your Area of Study?(Required)Select One...Pre-K - 12 EducationFine ArtsSocial SciencesAgricultureClincial or Educational CounselingSTEAMOtherIndicate the term and year for which you are applying(Required) 2022-2023 Fall/Spring 2022-2023 Summer 2023-2024 Fall/Spring 2023-2024 Summer 2024-2025 Fall/Spring 2024-2025 Summer Select AllCheck all that apply.Are you available to volunteer during the school year for 15 hours Monday thru Friday between 2pm - 6pm?(Required)YesNoAre you available to volunteer during the summer for 15 hours Monday thru Friday between 9am- 2pm?(Required)YesNoYou are not eligible to particpate in the Extending Learning Academy internship program for the Fall/Spring term.Participants must be available between 2PM - 6PM. Please do not continue with this application unless you have received an invitation from a Knowledge Quest, Program Manager.You are not eligible to particpate in the Extending Learning Academy internship program for the Summer Term.Participants must be available between 9 AM - 2 PM. Please do not continue with this application unless you have received an invitation from a Knowledge Quest, Program Manager.You are not eligible to particpate in the Extending Learning Academy internship program.Knowledge Quest offers an exciting opportunity for Postsecondary students majoring in the fields of PreK-12 Education, Fine Arts, Social Sciences, Agriculture, Clinical/Educational Counseling, or STEAM.Tell us about yourself.Name(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth(Required) MM slash DD slash YYYY Phone(Required)Email(Required) What college or University are you attending?(Required) Will you be a member of any school sponsored team or organzation?(Required) Letters of Recommendation3 Professional or Collegial Letters of recommendation are required. At least one letter must be drafted by the department chair, a college advisor, career services, or an instructor in the student's college major. Provide the name the indivdual providing your 1st Letter of Recommendation:(Required) First Last Relationship to Applicant(Required) Company(Required) Title(Required) Phone(Required)Email(Required) File(Required)Max. file size: 512 MB.Provide the name the indivdual providing your 2ND Letter of Recommendation:(Required) First Last Relationship to Applicant(Required) Phone(Required)Company(Required) Title(Required) Email(Required) File(Required)Max. file size: 512 MB.Provide the name the indivdual providing your 3RD Letter of Recommendation:(Required) First Last Relationship to Applicant(Required) Company(Required) Title(Required) Phone(Required)Email(Required) File(Required)Max. file size: 512 MB.Background InformationHave you ever been convicted of a felony?YesNoI hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of my housing contract. Signature of Applicant Δ