HOAP, Inc. Intern Application

HOAP, Inc. Intern Application
HOAP Inc. does not discriminate because of race, color, religion, sex, sexual orientation, national origin, age, citizenship, veteran status, marital status, parental status, membership in any labor organization, political affiliation, height, weight, disability, record of arrest without conviction or any other characteristic protected by law.
Name

First NameLast Name
DOB

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Education
Name of School
Major/Area of Study
Current Level of Eductaion

AssociatesBachelorsMasters
School Personnel Contact Name (Professor/Academic Advisor)

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Criminal History
Have you ever been convicted of a crime?

YesNo
Please explain If you answered yes to the previous.
Employment
Are you currently employed?

Yes, full-timeYes, part-timeSeasoalNo
Name of Employer (If employed)
Position
Please provide a description of your work duties.
Availability
Number of hours required?
Please share your desired schedule (i.e. days of the week/number of hours per week).
Application Statement
I certify that the information provided in this application is accurate to the best of my ability and knowledge. I grant permission to HOAP, Inc. to verify my information prior to my internship. I authorize HOAP, Inc. to perform needed reference and background checks. I understand that if I have provided any inaccurate or misleading information in this application my application will be rejected.
Signature

Clear
Should be Empty:

HOAP, Inc. Intern Application

Education

Criminal History

Employment

Availability

Application Statement