Available Internships
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Student Application
First Name
Middle Initial
Last Name
Address
Address 2
City
State
Zipcode
Phone
Email
Date of Birth
Are you an F1 Student Visa Applicant?
Yes
No
Are you a citizen of the United States?
Yes
No
Have you ever been convicted of a felony?
Yes
No
High School
Address
High School Start Date
High School End Date
Did you Graduate?
Yes
No
GPA
College
Major
GPA
Have you graduated?
Yes
No
Company
Address
Supervisor
Phone
Your Job Title/Intern Position
Start Date
End Date
Responsibilities
Reason for Leaving
May we contact your supervisor for a reference?
Yes
No
N/A
What internship are you applying for?
4(+) Month Volunteer
College Credits
Are you appling for a virtual or in office internship opportunity
Virtual
In Office
Can you commit to the 4(+) month program at a mnimum of 12 hours per week?
Yes
No
When can you start your internship?
When do you want to end your internship?
Please select 1 or more departments from which you desire to obtain mentoring work experience.
Project Management
Digital Marketing
Commissions & Accounting
Web Development
Customer Service
Logistics & Supply
Account Executive
Human Resources
Insurance Agent
After your internship, are you interested in becoming a licensed insurance agent?
Yes
No
After your internship, are you interested in applying for a position with the company?
Yes
No
Comments
Please attach a copy of your resume in PDF format
If this application leads to an internship, I understand that false or misleading information in my application or interview may result in my release.
I certify that my answers are true and complete to the best of my knowledge.
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