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INTERNSHIP FORM

Personal Information

Educational Background

Expected Graduation Date
Month
Day
Year

Internship Details

What departments are you interested in?
Are you applying for a remote or in-person internship?
Remote
On Site
Anything Available
Do you have reliable transportation to get to internship location every day?
Yes. I have my own car
Yes. I will be dropped off and picked up
Yes. I will be taking a cab everyday
⁠No. I do not have transportation
Available start date
Month
Day
Year
Duration of availability
Are you applying for a paid or unpaid internship?
Paid
Unpaid
Anything Available

Skills & Experience

Do you have experience with any of the following? (Check all that apply)
Work Experience?
3 Months
6 Months
12 Months
More

Motivation & Goals

Availability & Commitment

How many days a week can you commit to this internship?
3 Days
4 Days
5 Days
How many hours per week can you commit to this internship?
20 Hours
30 Hours
40 Hours
Do you have any other work or academic commitments during this period?
Yes
No

Workstyle & Team Collaboration

Are you comfortable working independently and meeting deadlines?
Yes
No

Technical & Equipment Requirement

Do you have access to a reliable computer and internet connection?
Yes
No
Are you familiar with work tools like Google Drive?
Yes
No

Additional Information

Signature & Agreement

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