Internship Application | Academic Calendar 2017-18

Please complete the appropriate sections

Name & Location of School

Number of Years Attended

Did You Graduate?

Degree or Certification

Trade / Technical School

University

Graduate

Phd

WORK HISTORY

To properly match you with the best internship please upload your CV and complete the following steps:
Upload your CV: *
click 'Choose File'
Your LinkedIn Profile:
Please paste the URL
Please list your most recent professional experience:
Employer's Name (Most current) *
Address & location of employer *
Your title *
Work performed: *
Supervisor's name: *
First and Last Name
Supervisor's Email: *
Email
May we contact this employer? *

YES NO
ADDITIONAL INFORMATION
List internship-related accomplishments, projects, and awards
List any additional information you would like us to consider:
REFERENCES

List two professional references (school or work, not relatives) that you have known for at least one year.
1. Full Name *

First Name Last Name
Best phone number to reach them *

Area Code Phone Number
Years acquainted *
Relationship *
2. Full Name *

First Name Last Name
Best phone number to reach them *

Area Code Phone Number
Years acquainted *
Relationship *

AUTHORIZATION

I understand that Campus B is making no internship offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for placement.

I authorize Campus B to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, and other relevant information, if internship-related. I give my full consent for all contacted individuals, including former employers, to provide information concerning this application. I acknowledge that a facsimile and/or photocopy of this form is as valid as the original.
By entering your name, you agree to accept the terms of the above document with an electronic signature. *

I agree I do not agree
You must agree to accept the terms of the document in order to submit an application.
Type signature *
Date *

Month Day Year

We are sorry but at this time we are unable to support applicants under the age of 18

We apologize for this inconvenience.
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