Today's Date
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Are you a current undergraduate or graduate student?
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Undergraduate Student
Graduate Student
Your Name
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example@example.com
Name of School
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Are you currently in a degree or professional certificate program?
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Please Select
Yes
No
Major/minor/Area of study
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Current Education Level
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Please Select
High School Junior
High School Senior
Early College Student
Freshman
College
Sophomore
Junior
Senior
1yr Grad Student
2nd yr Grad Student
Please name the degree you will earn or the name of the certificate program upon graduation or "none".
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Anticipated Graduation Date
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Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Email?
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What is your cell number?
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What is your birth date?
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What is your race?
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American Indian or Alaskan Native
Asian
Black
Hispanic, Latin Heritage
Native Hawaiian or Other Pacific Islander
White
What is your gender?
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Male
Female
How did you hear about SGSF?
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A SUPERGirl member
A SUPERGirl whose interned
Event
Mentor
Parent
Social Media
Teacher/Professor
Other, please share below.
Website
OTHER
If you chose other from the above question, please share here or, write "NA", if you chose an answer above.
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SUPERGirls SHINE Foundation (SGSF)
Mission:Providing STEM+ opportunities to underserved girls through early exposure.Vision:SGSF, with strategic partnerships and leadership, is the premier organization, bridging gaps for girls in education, exploration, and placement in STEM college/career tracks, preparing them for successful and sustainable leadHERship, and entrepreneurship opportunities.All that you share helps us get to know you, your talents, skills, and interest as it relates to SUPERGirls SHINE Foundation. Thank you for taking the time to share! - The - SHINE Team!
In what area are you most interested in?
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Please Select
Accounting/Finance
Business/Community Development
Communications/PR/Radio/Television
Communication Design/web design
Content Writing
Counseling/Macro Social Work
Cybersecurity
Data Analytics/Data Science
Executive Leadership/Board of Directors Support
Fund Development
Education
Health Education
HR Management/Training
Marketing/Management
Market Research
Photography
Program Development/Management
Operations
Outreach or Programming
Social Media Management
Videography
Other
If you chose other, do share here. Otherwise, write, "NA".
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Do you text using your cell?
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Yes
No
Please list your social media platforms and handles. (i.e. - Instagram @SUPERGirlsSHINE) If you are currently not using social media at all, write - "I currently am not using social media platforms for personal or business use!"
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Your Current Level of Education Completed?
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High School
Bachelor's Degree
Master Level
Doctoral Level
Professional Certificates
OTHER
If in college, what is your anticipated graduation/completion date of your professional program/college? (If unknown or not applicable, write "NA"!)
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If in graduate school, what is your expected graduation day, and what is your professional program? If not in graduate school, type **NA**
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Employer/Company Name?
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Strongest subject areas?
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Math
Science
Reading/Language Arts
Social Studies
Computer Technology
Arts
Sociology
Business/Analytics
Availability ... Days of the week?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
ALL
Availability ... (Time of Day)?
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MORNING 8am-12pm
AFTERNOON 1p-4p
EVENING 5p-8p
OPEN
Please list languages other than English that you speak or read fluently? (If none, type NONE).
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Indicate civic affiliations?
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Please Select
Rotary Club
Chamber of Commerce
Kiwanis Club
Fraternity/Sorority
Professional Career Focus Organization
Private/Community/Faith-based Initiatives
Other
Regarding the above question, please indicate the name of your professional affiliates/organizations. (If none, type NONE).
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What's your motivation?
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What is your shirt size? (Adult Size)
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Small
Medium
Large
X-Large
XX-Large
XXX-Large
We'd like to review your most updated resume here. Do submit
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Browse Files
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Choose a file
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Let's see your smile. Do upload here.
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Will this be your first internship experience?
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Yes
No
If you answered "no" to the above question, do list the name of your direct contact/report, organization, contact information including, title, email and phone. If you answered "yes", write - "My First Internship" as your answer.
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If this is not your first internship experience, do share a brief summary of your experience and what skills you acquired or sharpened. If this is your first, write - "My First Internship" as your answer.
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What did you like least about your other internship experience(s)? Write - "My First Internship" as your answer, if this is your first.
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What skills would you bring to SGSF that would advance our mission statement?
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What would you do if you were asked to complete a task that you did not have the skills to successfully complete?
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What book are you currently reading and why? If not one, type "not one at this time".
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If at the store and you use a cart to bring out items to your car, do you put the cart in the cart rack or leave it out close to your parking space?
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Return cart
Leave out in open space
Place on grass
Place right in between the car in front of my car
I don't use a cart
Why SGSF? Please be specific!
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Emergency Contact Name?
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Emergency Contact Number?
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Emergency Contact Relationship?
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Statement of Confidentiality - Interns, are required to comply with policies that protect confidentiality and disclosure of SUPERGirls SHINE Foundations operations, systems, financial statements, records and personal/personnel information that they become privy to as a result of working directly with the students. Disclosure of SUPERGirls records and personal information beyond program personnel and representatives having obligation of confidentiality, shall require written consent from the Director of Education. I understand the above statement and will comply with the policy to maintain confidentiality and to respect the SUPERGirls' right to privacy, refraining from disclosure or confidential information and intrusion into the student's family life.
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Please Select
Yes
No
Do you authorize the administration to use your picture, videos, and/or name in publications, brochures, flyers, displays and other promotional materials?
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Yes
No
In your professional or personal life, what are three (3) "Must" you'd have to accomplish by year end?
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When you SHINE the most, who are you with and what are you doing?
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If selected to SHINE with us, would you voluntarily have a federal background check administered in your name and pay for it?
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Yes
No
Maybe
If you answered no or maybe to the above question, please explain here why. (If you answered yes, type YES).
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Have you ever been convicted a crime that required you to spend time in jail?
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Yes
No
If you answered "yes" to the above question, please explain here why. (If you answered no, type NO).
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I attest that all information is true and no information that was shared is false.
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True
False
I would rather not answer this question.
If you stated above, "I would rather not answer this question", please explain why.
Signature
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Today's Date
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Please select PRINT on your browser menu bar prior to selecting DONE to keep a record of this application for Internship. Thank you for completing this step. If you'd like to share anything else, feel free to do so here that will help us make a final decision.
Is there anything else you'd like us to know about you that's interesting or unique that will help in our review of your application? If nothing, type, "none at this time."
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Thank you! We'll review, process application and share updates within one week. Stay Connected with us & become engaged @ www.SUPERGirlsSHINE.com, www.Instagram.com/SUPERGirlsSHINE, www.Twitter.com/SUPERGirlsSHINE, www.Facebook.com/SUPERGirlsSHINE, and www.Snapchat.com/SUPERGirlsSHINE
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