Intern Intake Form
Please fill out the form below to begin your internship.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Semester/Term Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Semester/Term End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please describe the requirements on Orbital Studios's part in order for you to obtain course credit for your internship.
Who will be Orbital Studios' point of contact at your school? (Internship Program manager, or school advisor)
First Name
Last Name
Email address for point of contact.
example@example.com
Please share your weekly schedule (classes, work, standing conflicts, vacation dates).
*
Where are you living during the internship? (neighborhood)
*
What roles/areas are you interested in learning about?
Virtual Art Department
LED Technician
Stage Operator
Production
Marketing
Development
Film Financing, Sales, Distribution
Other
If you would like, please share a preferred profile picture for potential social posts.
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Do you have any accessibility requirements you would like the team to be aware of?
Allergies?
Dietary Restrictions?
Are you currently taking any medication you would like the team to be aware of in case of an emergency?
Any medical conditions you would like your team to be aware of?
Emergency Contact Info
In the event of an emergency, who should we ccontact?
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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