This form will request personal information on your educational and professional background.
All placements will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to this internship placement process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact Campus B directly at firstname.lastname@example.org.
Each question should be answered completely and accurately.
No action will be taken on this application until all questions have been answered and the application has been signed and dated.