Onboarding/Re-Certification Form

For any questions regarding this form please contact the VTEC Managment Team at (760) 750-7051

Contact Information

First Name:

Last Name:

Email:

What is the start date that you are re-certifying for?

Start date is your first day of internship or start date for your next academic period for continuing interns.

What is the end date that you are re-certifying for?

End date is the last day of your academic period you are submitting your work schedule for.

Does your university use the quarter or semester system?

Which academic period are you re-certifying?

Other: Write In

Are you beginning a new internship or continuing your existing internship?

What is name of your Supervisor/PI?

What is the name of the project you will be working on in the upcoming period?

Emergency Contact - Name

Emergency Contact - Relationship

Emergency Contact - Phone Number

Work Schedule Information

Use this section of the form to provide us with your upcoming internship schedule. Here are guidelines for building your schedule:

- During your semester or quarter session, you may work a maximum of 20 hours a week.
- During your summer session, you may work a maximum of 40 hours a week.

Week 1: Monday Schedule

Week 1: Tuesday Schedule

Week 1: Wednesday Schedule

Week 1: Thursday Schedule

Week 1: Friday Schedule

Please only fill in this field if your schedule is not the same every week.

Week 2: Monday Schedule

Week 2: Tuesday Schedule

Week 2: Wednesday Schedule

Week 2: Thursday Schedule

Week 2: Friday Schedule

Continuing Intern Re-certification

Please provide us with any updated contact and payment information.

Since your last update with VTEC, has any of your basic information changed? (This includes your phone number, address, and bank account information.)

Current Phone Number

Current Address (Street | City | State | Country)

Has your bank account information changed?

Academic Certification

Please submit the following:

* A PDF copy of your most recent unofficial transcript.

* If your most recent unofficial transcript does not show your upcoming classes, submit a copy of your enrollment cart showing you have successfully enrolled in a full-time course load for the upcoming academic period.

**If you are beginning your first internship, please select "No" in the drop-down box below**

Do you have a file to upload?

Please upload your supporting documents here:

Contact Information