Intern Application - First District Supervisor

Applicant Contact Information

First Name (required)

Last Name (required)

Phone (required)

E-mail address (required)

Street address (required)

Street address 2

City (required)

State (required)

Zip code (required)

School Information

School Currently Enrolled In: (required)

School Office Phone No: (required)

Major: (required)

Grade Point Average: (required)

Years in School (as of Today): (required)

Freshman	Sophomore	Junior	Senior	Graduate

Cover Letter

Please briefly explain why you are interested in interning for the Supervisor, and also note your availability during the week and preferred start and end date for the internship. (required)

Resume

Availability

Please submit days and times you are available to work. (required)

Reference #1

Name (required)

Phone (required)

E-mail address (required)

Reference #2

Name (required)

Phone (required)

E-mail address (required)

Reference #3

Name (required)

Phone (required)

E-mail address (required)

Signature

By selecting the Checkbox below, you acknowledge you have read the message and agree with what is stated.
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY FALSE INFORMATION ON THIS APPLICATION MAY BE GROUNDS FOR DISQUALIFICATION AS A FELLOWSHIP CANDIDATE. APPLICANTS MAY BE ASKED TO COMPLETE A BACKGROUND CHECK AS PART OF THE APPLICATION PROCESS.
I Agree

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