Leadership Initiatives 2025 Student Internship Program Interest Form

2025 Summer Internship Program Interest Form
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*

Criminal Law & Trial InternshipAdvanced Law & Justice Reform InternshipAdvanced Medical & Public Health InternshipAdvanced Medical Neuroscience InternshipInternational Leadership & Business InternshipNational Security & Diplomacy InternshipCybersecurity & Defense InternshipMiddle School Jumpstart ProgramAI & Emerging Technology Internship
How did you hear about Leadership Initiatives?*
Other:*
Which FBLA state/country are you a member of?*
Which HOSA state/country are you a member of?*
Which LI Alumni/Staff Member
If you encounter any issues filling out the 2025 Interest Form, please call (202) 738-1115.
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2025 Summer Internship Program Interest Form