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First Name: *

Last Name: *

Preferred name: *

Email: *

Phone:

Who, if anyone, recommended you?:

University / College: *

Degree Level You are Seeking: *

Major / Field of Study: *

Current Class Standing:

Expected Graduation Month: *

Expected Graduation Year: *

GPA:

What have you done, accomplished, or been recognized for that wasn: *

What professional skills/experience have you acquired in or outside of the classroom, particularly those relevant to the position(s) you: *

What type(s) of internships are you most interested in right now?: *

LinkedIn Profile:

Link to your primary website, blog, business, side project, or online portfolio:

Link to your other work, or links to work about you:

Tell us your story. How did you end up where you are, and what are your future goals?: *

What have you done in your personal time to invest in yourself and your future? (self-taught yourself something, taken online education courses, attended conferences, engaged in your desired field, etc.): *

What books are you currently reading, or what podcasts are you currently listening to?: *

Who inspires you?: *

What date range are you available to work?:

Where (city/region) are you willing to work?:

Did you get permission to list these references?: *

Reference Checks Link:

Reference 1 (professor) FIRST NAME:

Reference 1 (professor) LAST NAME:

Reference 1 (professor) RELATIONSHIP:

Reference 1 (professor) EMAIL:

Reference 2 (extracurricular) FIRST NAME:

Reference 2 (extracurricular) LAST NAME:

Reference 2 (extracurricular) RELATIONSHIP:

Reference 2 (extracurricular) EMAIL:

Reference 3 (professional) FIRST NAME:

Reference 3 (professional) LAST NAME:

Reference 3 (professional) RELATIONSHIP:

Reference 3 (professional) EMAIL:

Reference 4 (additional) FIRST NAME:

Reference 4 (additional) LAST NAME:

Reference 4 (additional) RELATIONSHIP:

Reference 4 (additional) EMAIL:

Resume: *

Unofficial Transcript (.pdf, .doc, .docx):

Cover Letter: