| Personal
Information |
| Name |
|
|
Mr.
Ms.
Dr. |
|
First
|
Middle
|
Last (Family)
|
| If transcripts, test scores,
or other documents are under another name, give name
|
|
| Permanent Address |
|
Number and Street
|
Apartment (if applicable)
|
City
|
State
|
Zip Code
-
|
|
Country
|
|
| |
|
Business Telephone
x
|
Fax
|
Email (required)
|
Home Telephone
|
| |
|
| If necessary, may we
contact you via: |
Business Telephone?
Yes
No |
|
| |
Fax?
Yes
No |
|
| |
Email?
Yes
No |
|
|
| Mailing Address (if different
from above) |
|
Number and Street
|
Apartment (if applicable)
|
City
|
State
|
Zip Code
-
|
|
Country
|
|
| |
|
| Internship Preferences |
| |
| 1. Area of interest: (i.e.: Law, R & D, Business, Communication.)
|
| Please write a brief statement on your reasons for interest in this area: (why you are interested in this area, what can you bring to the table for the company that hires you and how the internship will benefit you, e.g. as a continuing graduate student or graduating student). |
| |
| 2. Area of interest: (i.e.: Law, R & D, Business, Communication.)
|
| Please write a brief statement on your reasons for interest in this area: (why you are interested in this area, what can you bring to the table for the company that hires you and how the internship will benefit you, e.g. as a continuing graduate student or graduating student). |
| |
| 3. Area of interest: (i.e.: Law, R & D, Business, Communication.)
|
| Please write a brief statement on your reasons for interest in this area: (why you are interested in this area, what can you bring to the table for the company that hires you and how the internship will benefit you, e.g. as a continuing graduate student or graduating student). |
|
| Please list companies you are interested in. Please also indicate what area(s) that you might be interested in and the value you bring to them. |
| Company Name |
Area of Interest |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
| Do you have permission to work in the United States? Yes No |
| The Center is not able to provide any advice and guidance on immigration issues. |
| |
| Are you available for an internship opportunity in (indicate all applicable): |
| Summer 2007 Fall 2007 Immediate |
| |
| Interested internship location: |
| New York City Long Island Other (Please specify) |
| |
| Do you have your own transportation? Yes No |
| |
| What are the hours that you will be available (indicate all applicable): |
Full Time
Part Time (Indicate hours)
Flexible (Indicate hours) |
| |
| Are you interested in paid, unpaid or both internship positions? |
| Paid Unpaid Both |
|
|
