Internship Application Form for High School Seniors

Internship Application Form for High School Seniors

Complete this form to apply for the internship with Checkpoint Empowerment Network Foundation.
Personal Information
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
High School Name*
Graduation Year*
Emergency Contact
Emergency Contact Name*

First NameMiddle NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Academic Information
Current GPA*
Relevant Coursework*
Extracurricular Activities*
Internship Details
Why are you interested in interning with Checkpoint Empowerment Network Foundation?*
What skills or strengths will you bring?*
Community OutreachAdministrationSocial MediaEvent PlanningFundraisingResearchVolunteer CoordinationOther
Availability (days and hours)*
Preferred Start Date*

MonthDayYear
Date
Experience
Previous volunteer or work experience*
Leadership roles, if any
Short Answer Questions
Describe a challenge you have overcome.*
What does community empowerment mean to you?*
Documents Upload
Resume*

Cancelof
Letter of Recommendation

Cancelof
Agreements
I consent to the applicant participating in this internship and acknowledge the terms of the application.I confirm I am the parent/guardian of the applicant.
Applicant Signature*
Date*

MonthDayYear
Date
Should be Empty: