Senior Internship Application

Directions: Please type this application and return to Mr. Brick. Use complete sentences and correct grammar. If accepted into the Senior Internship class, this application may be submitted to your employer.

Name: 

Home Phone:

Cell Phone:

E-Mail: (Mr. Brick will email you upon receiving this application.)

Career Choice:  (Please fill out three choices)

                        

                        

Attendance: (Please circle the average number of absences per semester)

        0-2           3-5       5 or more

  1. Why would you like to intern in this career field?

     

     

  2. What classes have you taken in high school that would prepare you for an internship in this area?

     

  3. Please list any other experiences or volunteer service you have completed that relates to your internship area.

     

  4. What school activities are you involved in?

     

  5. Do you have any contacts in your career field? Please list names and phone numbers of any people or employers that you would like to be placed with.

         

 

I understand that I am responsible for securing transportation to and from my internship site.