• Student Information

  • We'd like to put a name with a face. Please upload a recent PROFESSIONAL photo/headshot of yourself.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Date of Birth MMDDYYYY*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Parent/Guardian Information #1

  • Format: (000) 000-0000.
  • Parent/Guardian Information #2 (Optional)

  • Format: (000) 000-0000.
  • Academic & Program Commitment

  • Are you willing to attend required academic sessions and a one-week summer training?*
  • Do your parents/guardians support your participation*
  • Student Support

  • At Kolbe Cathedral Bridge to Success, we are committed to supporting every student's growth and success. Are there any learning styles, academic challenges, social-emotional needs, or accommodations (formal or informal) that you think we should be aware of in order to better support you during your internship experience?*
  • Brief Constructed Responses

  • Internship Interest & Availability

     Preferred placement is not guaranteed.
  • What types of internships are you interested in? (Check all that apply)
  • Do you participate in sports/extracurricular activities?*
  • Are you currently employed?*
  • Have you ever been asked to resign from a position?*
  • Skills & Additional Information

  • Do you speak, read, or comprehend any foreign languages?
  • Would you comply with COVID/TB/Flu vaccination requirements if required by a mentor?
  • Transportation

  • Do you currently have a way to get to and from school on time?
  • Primary mode of transportation (check one):
  • Any transportation limitations or concerns we should know about?

  • Should be Empty: