Internship Application | Academic Calendar 2017-18

Please complete the appropriate sections

WORK HISTORY

To properly match you with the best internship please upload your CV and complete the following steps:
Upload your CV:*

Upload a File
click 'Choose File' Cancelof
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?*

YESNO
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 NameLast Name
Best phone number to reach them*

Area CodePhone Number
Years acquainted*
Relationship*
2. Full Name*

First NameLast Name
Best phone number to reach them*

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

MonthDayYear

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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