Internship application

Internship Application
Full Name

First NameM.I.Last Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date

MonthDayYear
Email Address
Confirm E-mail
Cell Number

Area CodePhone Number
Home Number

Area CodePhone Number
What is the best way to communicate with you?
References

You will need three references including one school professor.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Relation to reference?
How long have you known reference?
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Relation to reference?
How long have you known reference?
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Relation to reference?
How long have you known reference?
What College do you attend ?
Year of College:
What is your current GPA?
What is your major(s)?
How many course hours do you have in your major(s)?
How many courses are you currently enrolled in?
Do you have a fingerprint clearance card?
Are you eligible to work in the U.S.?
Why do you want to intern with Advancing Change?
What job skills are you looking to develop/learn?
Applying for the Summer Camp?
Which dates are you available?
Applying for the school year classes?
Which dates are you available? (Each quarter are 9 week periods)
How many hours are you available to work each week?
What are some of your job strengths?
What software/equipment are you familiar with?
What are some of your strongest area of work?

Other
How did you hear about the internship?

Other
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Internship Application