ST. FRANCIS WILDLIFE REHABILITATION CENTER COLLEGE INTERNSHIP

Reference Form

Applicants must provide three references.

Directions to Applicant: Select three people to serve as your references. Provide each person with a printed copy of this form and a stamped envelope addressed to: Sandy Beck, Education Director, St. Francis Wildlife Association, P.O. Box 38160, Tallahassee, FL 32315.

References should be people who are familiar with your work and aspirations in this field: professors, veterinarians, relevant employers, etc. Please provide your references with information about the College Internship Program and ask them to complete the form.

Directions to References: Please complete this form and mail.

Applicant's Name: _________________________________________________

Applicant's School: ________________________________________________

Reference's Name: ________________________________________________

Title : _________________________________________________________

School or Organization: ____________________________________________

Phone Number: ( _______ ) _______________________________

e-mail: _______________________________________________

Relationship to applicant and # years known:

______________________________________________________________

Signature:_______________________________________________________

Date:____________________________