Internship Application

Personal Information

First Name *

Middle Initial

Last Name *

Mailing Address *

City *

State *

Zip *

Phone *

Email *

Birthdate (Day/Month/Year) *

Education

Are you currently attending college? *

   Yes    No

If yes, what university or college are you attending? *

What degree/major are you pursuing? *

What is your current grade level? *

   Junior    Senior    Graduate Student

Schedule

Which Semester(s) are you applying for? *

   Fall Only    Spring Only    Fall & Spring

What is your preferred start date?

What is your preferred end date?

Which days /times would you be available to work at the State Chamber? (Check all that apply) *

   Monday morning    Monday afternoon    Monday all day    Tuesday morning    Tuesday afternoon    Tuesday all day    Wednesday morning    Wednesday afternoon    Wednesday all day    Thursday morning    Thursday afternoon    Thursday all day    Friday morning    Friday afternoon    Friday all day

Academic Credit (If seeking academic credit for this internship complete all fields)

Name of College or University

Department

Department Contact Person

Department Contact Phone Number

Department Contact Email

Documentation

Resume *

Cover Letter *

Letter of Recommendation