Visiting Intern Application Form

Before you complete this form, please review Fauna’s Visiting Intern Program description and requirements. If you cannot submit your application online, please email it to Dr. Mary Lee Jensvold at jensvold@faunafoundation.org.

* = Required fields
ABOUT YOU
Name*
First Last
Date of Birth*

Day
Month
Year
Temporary Contact Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Please include area code
Email*
Languages spoken and written*
Do you have experience with non-human primates?*
- Yes
- No
Where was this experience and for how many months?*
Is housing required?*
- Yes
- No
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
TB test date*
Proof of TB test will need to be submitted after your acceptance to the program but prior to arrival.

Day
Month
Year
Tetanus vaccination date*
Proof of tetanus vaccination will need to be submitted after your acceptance to the program but prior to arrival.

Day
Month
Year
Academic major(s)*
Academic minor(s)
Class standing*
- Freshman
- Sophomore
- Junior
- Senior
- Grad student
Expected Graduation or Degree Conferred Date*

Day
Month
Year
SUBMISSION CHECKLIST
Verify your application
- Select All
- Application Cover Page
- Answers to questions
- Two letters of recommendation
- Transcripts
- Application fee $25.00 CAN (Pay Pal confirm #________________ Check #______
- Online receipt attached if paid online
- TB test results/tetanus verification/COVID vaccine verification (can be submitted after acceptance)
YOUR PROGRAM READINESS
What experience and/or training support has prepared you to be a successful Visiting Intern? Please include a description of your background, any experience caring for other individuals, any research experience and any other relevant experience.*
What do you hope to gain from the Visiting Intern Program?*
Why should you be selected to participate in the Visiting Intern Program?*
What is your position on the use of non-human animals in biomedical research, behavioral research, zoos, entertainment, and as pets?*
State your condition of health. Do you have any problems that would interfere with your work, safety, or the safety of the chimpanzees (e.g. seizures, balance problems, medications, exposure to tuberculosis, etc.)?*
How did you learn of the Visiting Intern Program?*
SUPPORTING MATERIALS
NOTE: File types accepted are .pdf, .jpg, .jpeg or .png.
Letters of Recommendation
Please provide two (2) letters of recommendation. The individuals you are receiving letters from may also submit them directly to: Visiting Intern Program, Fauna Foundation, 3802 Bellerive, Carignan, QC, J3L 3P9 Canada. (*NOTE: Upload file types accepted are .pdf, .jpg, .jpeg or .png.)
Letter #1
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB.
Letter #2
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB.
Post University or CÉGEP transcripts
Please provide transcripts of university or CÉGEP. Need not be official transcripts. (*NOTE: Upload file types accepted are .pdf, .jpg, .jpeg or .png.)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.
ONLINE PAYMENT INSTRUCTIONS
Payment can be made online via Credit Card or PayPal through Fauna Foundation’s website. Go to https://www.faunafoundation.org/donate/. Select either PayPal or Credit Card. Enter the $25.00 amount (as a donation). Under the “Special Instructions” field enter the following information: Your name. “Visiting Intern Application Fee”. Print the confirmation or the donation receipt and include that with your application. Also include the confirmation number on your application.
Alternatively, a check can be made out to Fauna Foundation and mailed to: Visiting Intern Program, Fauna Foundation, 3802 Bellerive, Carignan, QC, J3L 3P9 Canada. Please indicate in the check comment that it is for your Visiting Intern Application fee.
HOUSING

There is limited housing on site. The cost is CDN$ 1000 for the eight (8) weeks. This is NOT included in the CDN$ 2000 program fee. Please indicate whether you are requesting housing on site or not on the application form.
I AGREE
By submitting this form, I grant representatives of Fauna Foundation permission to contact you and contact the references who provide letters of recommendation.

Visiting Intern Application Form

ABOUT YOU

SUBMISSION CHECKLIST

YOUR PROGRAM READINESS

SUPPORTING MATERIALS

ONLINE PAYMENT INSTRUCTIONS

HOUSING

I AGREE

Help Fauna's chimps and other residents today!

Quick Links

Get In Touch