Leadership Initiatives 2024 Student Internship Program Interest Form

2024 Summer Internship Program Interest Form

Please complete this form to receive more information for the Leadership Initiatives Summer Internship Programs at Georgetown University.
This contact information is for a...

StudentParentTeacherOther
Full Name*

First NameLast Name
Email*
Phone Number*
Would you like to add another contact?*

YesNo
This contact information is for a...

StudentParentTeacherOther
Full Name*

First NameLast Name
Email*
Phone Number*
Would you like to add another contact?*

YesNo
This contact information is for a...

StudentParentTeacherOther
Full Name*

First NameLast Name
Email*
Phone Number*
Student's Name*

First NameLast Name
Student Phone Number*
Student Email*
example@example.com
Name of Student's School*
(if homeschooled, write 'homeschooled')
Graduation Year*
Program of Interest*

Advanced Law & Trial Internship - Criminal DefenseAdvanced Law & Advocacy Internship - Criminal Justice ReformAdvanced Medical & Public Health InternshipAdvanced Medical Neuroscience InternshipInternational Leadership & Business InternshipNational Security & Intelligence InternshipCybersecurity & Intelligence InternshipMiddle School Jumpstart Program
How did you hear about Leadership Initiatives?
Other:*
Which HOSA state/country are you a member of?*
Which LI Alumni/Staff Member
If you encounter any issues dilling out the 2023 Interest Form, please call (202) 738-1115.
Should be Empty:

2024 Summer Internship Program Interest Form