MDTP Intern Background Survey

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1. First Name* This field is required.
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2. Last Name* This field is required.Nice to meet you {1First}!
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3. Email* This field is required.{1First}, where can we reach you?
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4. Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5. College* This field is required.
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6. Year in College* This field is required.
Freshman (1st Year)
Sophomore (2nd Year)
Junior (3rd Year)
Senior (4th Year)
Masters
Doctorate
Graduated
None
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7. City you Live In* This field is required.
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8. Tell us more about your location and means of transportation* This field is required.
What are your nearest cross streets?
Osborn
Alhambra
Union District
Which of these districts is your desired placement?
What is your current means of transportation?
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9. What is your current motivation to connect with MDTP?* This field is required.
School
Class
Other
Motivation
Please provide details for School, Scholarship, or Other
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10. Do You Have a Finger Print Clearance Card?* This field is required.
Yes
No (but I would be able to get one)
No (I will not be able to get one)
No (I'm not sure if I can get one)
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Review Position Descriptions & Responsibilities
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1. What Position are You Interested In?* This field is required.
Classroom Support Team
Executive Assistant
Marketing
Special Events Management
Teacher Recognition
Teacher Support
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2. Main Reason for Applying for this Internship* This field is required.
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3. # of Hours You Plan on Committing to Intern Each Week * This field is required.
0 Hrs
2 Hrs
4 Hrs
6 Hrs
8 Hrs
8+ Hrs
Work On Campus
Work Off Campus
Work On Campus
Work Off Campus
0 Hrs
2 Hrs
4 Hrs
6 Hrs
8 Hrs
8+ Hrs
0 Hrs
2 Hrs
4 Hrs
6 Hrs
8 Hrs
8+ Hrs
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4. Major Setback if You Do Not Pass the Internship* This field is required.
Fail Class
Lose Scholarship
No Setback
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5. Do you have experience in the position in which you are applying for?* This field is required.
No
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1. Functions (hidden, not shown)We would like to identify the functions as an intern which you would feel comfortable doing / learning how to do. Please check all that apply:
Yes
No
I Don't Know
Data Input/Upload [Documents, Pictures, Grades]
Data Analysis
Grading Student Work
Taking Pictures of Students During School/Classroom Activities
Notifying Parents Regarding Reminders and Classroom/School Activities
Meeting with Parents in Person to Discuss Child
Lesson Preparation
Teaching
Leading Small Student Groups
Tutoring
Taking Notes on Each Student [Behavior, Academics, Needs, Etc.]
Data Input/Upload [Documents, Pictures, Grades]
Data Analysis
Grading Student Work
Taking Pictures of Students During School/Classroom Activities
Notifying Parents Regarding Reminders and Classroom/School Activities
Meeting with Parents in Person to Discuss Child
Lesson Preparation
Teaching
Leading Small Student Groups
Tutoring
Taking Notes on Each Student [Behavior, Academics, Needs, Etc.]
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
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1. Please provide examples of past work and life experiences that relate to any of the functions of the position.
Huge
Large
Normal
Small
Ok
Ok
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2. We would like to know of the types of relevant software you already know how to use. Please check all that apply:
Yes
No
I Don't Know
Microsoft Office: Word, Excel, PPT
Class Dojo
Site Word Packet
Mobymax Site
Microsoft Office: Word, Excel, PPT
Class Dojo
Site Word Packet
Mobymax Site
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
Yes
No
I Don't Know
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1. Please Rank the Following Profiles from 1-4 (1 Most Like You and 4 Is Least Like You). Each Profile Should Only Have 1 Box Checked That is Not Duplicated By Another.
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2
3
4
Analytical [Clear thinker, Logical Problem Solver, Data Driven, Rational, Learns by Mental Analysis]
Structural [Practical Thinker, Likes Guidelines, Cautious of New Ideas, Predictable, Learns by Doing]
Conceptual [Imaginative, Intuitive About Ideas, Visionary, Enjoys the Unusual, Learns by Experimenting]
Social [Relational, Intuitive About People, Socially Aware, Empathetic, Learns from Others]
Analytical [Clear thinker, Logical Problem Solver, Data Driven, Rational, Learns by Mental Analysis]
Structural [Practical Thinker, Likes Guidelines, Cautious of New Ideas, Predictable, Learns by Doing]
Conceptual [Imaginative, Intuitive About Ideas, Visionary, Enjoys the Unusual, Learns by Experimenting]
Social [Relational, Intuitive About People, Socially Aware, Empathetic, Learns from Others]
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2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
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2. Check the Box of one Characteristic that Best Describes You
Quiet
Introspective
Reserved
Talkative
Gregarious
Expressiveness
Expressiveness
Quiet
Introspective
Reserved
Talkative
Gregarious
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3. Check the Box of one Characteristic that Best Describes You
Peacekeeping
Easygoing
Competitive
Forceful
Driving
Assertiveness
Assertiveness
Peacekeeping
Easygoing
Competitive
Forceful
Driving
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4. Check the Box of one Characteristic that Best Describes You
Focused
Firm
Adaptable
Accommodating
Welcomes Change
Flexibility
Flexibility
Focused
Firm
Adaptable
Accommodating
Welcomes Change
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5. What Other Skills Do You Possess That You Feel Will Make You A Good Candidate For A Position?
Huge
Large
Normal
Small
Ok
Ok
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