Indicate day(s) and time(s) you are available to volunteer:

(check last year completed):

I authorize The Arc Baltimore to contact the listed references and to verify the information provided on this application. I understand that misrepresentation or omission of facts requested is cause for non-placement as an intern. If placed as an intern, I agree to abide by the philosophies of The Arc Baltimore and to fulfill the internship responsibilities to the best of my abilities.