I certify that all information I have provided in order to apply for internship placement is true, complete and correct.

I expressly authorize the employer, its representative, employees or agents to contact and obtain information from all references, personal and professional, employers, public agencies, licensing authorities and education instructions and to otherwise verify the accuracy of all information provided by me in this application, résumé or internship interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the interview process and all other persons, corporations or organizations for furnishing such information about me.

This company does not tolerate unlawful discrimination. No question on this application is used for the purpose of limiting or excluding an applicant from consideration on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law.

I understand that any information provided by me that is found to be false, incomplete or misrepresent in any respect, will be sufficient cause to (i) eliminate me from further consideration.

Conditions of the Internship:

• The internship is related to an educational purpose and there is no guarantee or expectation that the activity will result in employment with the Organization.
• The education received by the Intern from the internship is for the express benefit of the Intern.
• The intern does not replace or displace any employee of the Organization.
• The intern will receive direct and close supervision by an appropriate supervisor as required by the objectives of the internship.
• The organization does not derive an immediate advantage from the activities performed by the Intern.
• The intern is not entitled to wages or any compensation or benefits for the time spent in the Internship.
• The Organization is not liable for any injury sustained or health conditions that may arise for the unpaid intern during the course of the Internship.
• The internship must be sponsored by an accredited institution of higher learning and be sought for the completion of an educational program.

The Intern specifically agrees to and acknowledges the following:

• This internship is educational in nature and there is no guarantee or expectation that the internship will result in employment.
• The organization may at any time in its sole discretion, terminate the internship without notice or cause.
• The Intern will demonstrate honesty, punctuality, courtesy, cooperation, confidentiality, and a willingness to learn.
• The Intern will adhere to the policies, procedures, and regulations of the Organization at all times.
• The intern will furnish his/her supervisor and the Organization’s Intern Coordinator with all necessary information pertaining to the internship.
• Should the Intern want to cancel their internship early, for whatever reason, written notice must be provided to the Intern Coordinator.
• Transportation to and from the internship site is the sole responsibility of the Intern.
• While the Intern is on the Organization premises or during the course of their internship, he/she is not considered an employee, agent, or representative of the Organization for any purpose. They may not speak on behalf of the organization or as an affiliate in any public or private matter.

Interns assume all of the risks of participating in the internship program. In consideration of the opportunity afforded to the Intern to participate in the internship program, the intern hereby agrees that they, their assignees, heirs, guardians, and legal representatives will not make a claim against the Organization or any of its affiliated organizations, or either of their officers or directors collectively or individuals, or any of its employees, for the injury or death of the Intern or damage to their property, however, caused, arising from their participation in the internship program. Without limiting the generality of the foregoing, the Intern hereby waives and releases any rights, actions, or causes of action resulting from personal injury or death to them or damage to their property, sustained in connection with their participation in the internship program.