ASAT Externship Application
Name:

Phone:

Address:
Email:
Work/School Affiliation:
Education level completed:
Some high school
High schoolSome College (specify major)
Graduated College (specify degree and concentration)
Enrolled in Graduate program (specify program)Completed Grad program (specify degree and concentration)

Which externship position are you applying for:High School (in high school or graduated)
Undergraduate (some college in the past, enrolled in college, graduated from 4 year program)
Graduate (enrolled in graduate program or completed a graduate program)
Please give us a brief description about yourself, your relation to the field of autism, and your careergoals. (This may be addressed in your cover letter):
How did you hear about ASAT?
Why would you like to be an ASAT extern and how do you think it may benefit your career andprofessional growth?

Please identify your skills, abilities, and/or interests (check all that may apply):
Fundraising
Conference support
Writing for consumer audience
Editing/Proofreading
Graphic Design
Writing for professional
audience
Writing for website
Compiling resources
Conducting Internet research
Reviewing research
Promoting public awarenessReviewing website
Can assist with translation (specify language(s))
Other:

If yes, the externship requires a 1-year commitment totaling 150 hours. Please describe any barriers
that might interfere with this commitment (there is some flexibility):
Are you able to allocate 12-15 hours a month for ASAT’s Externship program?

YesNo

Please indicate below the days of week and times of availability to work or speak with an ASAT Board
member about your application: (Check the days that you may be available and then indicate aspecific time range next to that day):MondayTimes:
TuesdayTimes:
Wednesday Times:
ThursdayTimes:
FridayTimes:
Our Role:
1. We will work with you on creating a diverse and documented set of experiences that are appropriate
to your academic and experience level.
2. The activities listed above serve as guidelines, but we strive to individualize experience based on yourneeds and interests.
3. Your work will be largely overseen by the Executive Director and the Externship Coordinator.
Additionally, each Extern will have some contact with at least 4 different ASAT Board members orCoordinators over the course of the Externship year.
Your Role:
1. You will spend 12-15 hours a month working individually and in small groups (via email and Dropbox)
on a variety of projects.
2. You will participate in a 1-hour group Externship teleconference every third Tuesday.
3. You will identify 3-4 specific and measurable goals that can be achieved within the context of theExternship, and we will allocate some of your time to the achievement of these goals.
4. You will complete a log to document time spent on externship activities. You are asked to adhere todeadlines and communicate frequently with those individuals who are mentoring you.
5. If you are bilingual, please let us know.
How to apply for an ASAT Externship
Please complete, scan, and return in PDF format to: dceliberti@asatonline.org
Please attach:
1. A cover letter.
2. Your professional resume/CV. You may be asked to submit a professional letter of recommendationthat addresses your time-management skills, punctuality and personal responsibility.
3. This completed application.
If you prefer to mail the materials, please send to:
Association for Science in Autism Treatment
PO Box 1447
Hoboken NJ 07030
Attn: Externship Coordinator