2011 Intern Application

2011 - 2012 Internship Application
APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Phone Number

Area CodePhone Number
E-mail:
Birth Date

MonthDayYear
Do you live on campus?
If YES, which dorm?
Please provide the complete Dorm name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you a citizen of the United States
If you are NOT a citizen of the United States, are you an International Student at HU?
Have you ever been convicted of a misdemeanor or felony?
if YES, please explain briefly:
Education
High School Name, City, State:
Did you graduate?
If YES, please state the year of graduation:
Current College/University Name
Attended From:

MonthDayYear
Attended To:

MonthDayYear
Major
Cumulative G.P.A.
Did you graduate?
If YES, list the graduation year and degree(s) received
If NO, list the expected graduation month and year
Other College/University Name
Attended From

MonthDayYear
Attended To

MonthDayYear
Major
Cumulative G.P.A
Did you graduate?
If YES, list the graduation year and degree(s) received
If NO, list the expected graduation month and year.
EMPLOYMENT HISTORY
Please list at least two (2) professional references (past employers/supervisors only).
1. Name
Company Name
Relationship
Phone Number

Area CodePhone Number
E-mail
Please re-verify the email address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Brief description of duties & responsibilities
2. Name
Company Name
Relationship
Phone Number

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Brief description of duties & responsibilities
CAMPUS INVOLVEMENT
Please list at least 3 campus organizations in which you are involved.
1. Organization Name
President's Name
Phone Number

Area CodePhone Number
How actively involved are you (with 0 being not active at all and 10 being extremely active)?
2. Organization Name
President's Name
Phone Number

Area CodePhone Number
How actively involved are you (with 0 being not active at all and 10 being extremely active)?
3. Organization Name
President's Name
Phone Number

Area CodePhone Number
How actively involved are you (with 0 being not active at all and 10 being extremely active)?
Please, list any additional organizations in which you were involved:
(MS)2 INTERSHIP POSITION
Please answer all questions completely and truthfully.
1. Are you a returning Intern?
2. Please select the part(s) of the (MS)2 day that you worked with consistently.
3. Please select the appropriate classification:
4. Please select the position(s) in which you are applying for:
Please briefly answer the following essay questions based on your application status:

New Applicants: How did you learn of the Internship Program (please be specific), your strengths and creative abilities, and the reason(s) why you should be an (MS)2 Intern.

Returning Interns: Why should you be invited back into the program, what would you do differently to better assist (MS)2/DOSP in creating a healthy and exciting learning environment, and briefly describe at least one new idea that you would like to see implemented that would be beneficial to the students.
AVAILABILITY
Please list your availability for the current semester. Allot a minimum of fifteen (15) minutes between your availability and classes for travel time, please upload your schedule and online grades.
Please list your availability for the current semester. Allot a minimum of fifteen (15) minutes between your availability and classes for travel time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please note that all applicants must have a 2.85 cumulative G.P.A. and attach a web copy of their current Student Detail Schedule and Web Transcript to the completed application. To attach these forms to your application, please save them as ".pdf" documents.

The documents should be named with your last name, first name and the document type.

Examples: Smith, Jane Transcript OR Smith, Jane Schedule
Please upload necessary pdf files (Student Detail Schedule, Web Transcript)

Upload a File

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By entering my full name below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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2011 - 2012 Internship Application

APPLICANT INFORMATION

Education

EMPLOYMENT HISTORY

CAMPUS INVOLVEMENT

(MS)2 INTERSHIP POSITION

AVAILABILITY

VERIFICATION