2022 Virginia HOSA Internship Interest Form

2022 Virginia Summer Internship Interest Form
Leadership Initiatives is holding accelerated summer internships at Georgetown University in the summer of 2022. All VA HOSA participants can receive a $1,000 scholarship to attend through our partnership with HOSA International. To express interest and reserve your scholarship, please complete the form below. By reserving your scholarship, you are not committing to apply for the internship and are simply expressing interest to reserve your spot and scholarship.

To learn more about Leadership Initiatives Summer Internships, please go to our website at https://lichangesummer.org/
Student Full Name *

First Name Last Name
Student Email *
example@example.com
Student Phone *

Area Code Phone Number
Parent Full Name *

First Name Last Name
Parent Email *
example@example.com
Parent Phone Number

Area Code Phone Number
Graduation Year *
Should be Empty:

2022 Virginia Summer Internship Interest Form