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?*

PhoneE-mail
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.?*

YesNo
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?*

3rd-4th Grade / June 13-175th-6th Grade / June 20-247th-8th Grade / July 11-15
Applying for the school year classes?*
Which dates are you available? (Each quarter are 9 week periods)*

August - OctoberOctober - DecemeberJanuary - MarchMarch - May
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?*

TeachingMarketingInstructorBusiness PlanningPublic Speaking/PresentingOther
How did you hear about the internship?

InternetFriendSchoolOther
Upload Resume*

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Internship Application