Initial Consultation Form (updated 19.7.17)

Crimson Education Internship Form

Since 2013, Crimson has helped students boost both their academic and extracurricular profiles. We look forward to getting to know you! This form gives us background so we can tailor our initial conversation to discuss your strengths, interests, and what internships may be a good fit for you!
Student Name*

First NameLast Name
Date of Birth
Current School*
Residential Address
City*
Select Your State*
Country / Canadian Providence
Do your parents live in the same city and state? If not, please put their city, state, country here.
Current Year Level*
Year of High School Graduation*
Curriculum
Languages spoken by Student
Languages spoken by Parent
Student's Country of Citizenship*

USACanadaOther
Do you have any siblings?

YesNo
Student Phone Number*
Student Pronoun*

She/her/hersHe/him/hisThey/them/theirsOther
Student Email*
example@example.com
Parent/Guardian Details*

First NameLast Name
Relationship with Student*
Phone Number*
Email*
What are some potential areas of interest for an internship? Please list any and all you are thinking of!
Please let us know some of your target universities!*
What would you like to study in school? (1st Preference)*

Medicine/Pre-medLawBusiness/EconomicsEngineering/SciencesHumanities/Social SciencesFine ArtsOther
What is your current GPA? (Out of 4.0) *
What are the subjects that you are particularly strong at in school?
Internship Interests
How many hours are you hoping to dedicate to your internship each week? (Maximum 10)
When are you hoping to conduct your internship?

FallWinterSpringSummer
What types of businesses interest you?

MarketingEntrepreneurshipBeautyBusiness StrategyFashionConsultingResearchAnalyticsAdvertising
Extracurricular, Work & Awards
What leadership, extracurricular and work experience do you have? (Can also submit via resume or word doc below). Please list the activity, title, and years you've participated. Also you can any awards you have received!
Which activities from the list below have you participated in high school? Check all that apply.
Documents
Have a copy of your latest academic transcript? Please upload.

Upload a File

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Please upload your latest resume/CV, if you have one!

Upload a File

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Additional relevant documentation

Browse Files

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How did you hear about Crimson?
Please note who you or your family was referred by.
Please note which Youtube video you saw.
or the Youtuber's name
Please note which event or seminar you attended.
What goals are you looking to accomplish with a Crimson Education Internship?
If you would prefer the consultation in a language besides English, please indicate below, and we will do our best to accommodate.*

English works well for my family.Other
If you would prefer the consultation in a language besides English, please indicate below, and we will do our best to accommodate.

English works well for my family.Other
Anything else you would like us to know?
Should be Empty:

Crimson Education Internship Form

Internship Interests

Documents