Internship Application

EMPLOYER INFORMATION

How often are you working:

Full TimePart Time

Business/company Name

Company's Phone Number:

Manager's Name / Title

May we call your manager as a reference?

YesNo, I'd prefer they not know I am applying for this internship

What is your present position at this company?

Please include a brief description of your duties.

> > > EDUCATION < < <

High School

Name of School

Address

City

State

ZIP Code

Date/Expected Date of Graduation

GPA

Have you started or completed Post High School education?

YesNo

Post High School Education

Name of College/University/Trade School

Address

City

State

ZIP Code

Area of Study/Degree

Date/Expected Date of Graduation

GPA

Other related Course Work

> > > REFERENCES < < <

Name	Last Name
Relationship to you	Phone

Name	Last Name
Relationship to you	Phone