Thursday, 28 August 2008
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Student Intern Application
Student Intern Application
This form is for those students who wish to be considered for an internship, summer job or other employment through the TMAC/College of Technology internship program.
Fields in
bold
are required.
Name
Phone and Email
First Name
:
Phone Number:
Middle Name:
Cell Phone:
Last Name
:
E-mail
:
Home Address
Mailing Address
Same as Home Address
Address
:
Address
:
Address:
Address:
City
:
City
:
State
:
State
:
Zip
:
Zip
:
Country
:
Country
:
Academic Information
Seeking Degree
:
Bachelors Degree
Masters Degree
Status at Beginning of
Spring 2008
:
Freshman
Sophomore
Junior
Senior
Graduate Student
Expected Graduation Date:
Fall
Summer
Spring
2008
2009
2010
2011
2012
Major
:
Other
Computer Engineering
Construction Management (CMT)
CMT - Surveying & Mapping
Consumer Science
Electrical Power Engineering Technology
Future Studies
Human Resources Development
Information Systems Technology
Mechanical Engineering Technology
Network Communications
Supply Chain and Logistics Technology
Technology Leadership & Supervision (TLS)
TLS-Graphics Communication
Technology Project Management (TPM)
TPM-Information Systems Security
TPM-Logistics
Current GPA
:
If Other, state your Major:
Minor:
Additional Language Skills - Rate yourself from 1-5 on additional language skills (e.g., Spanish, Chinese) where 5 = fluent
and 1 = "like a tourist".
Language
Read
Write
Speak
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
Honors, Awards, Publications:
Licenses, certifications,
relevant course work:
Additional Skills
(software,typing speed,...):
References
Please complete at least one of the fields (phone, email or mobile phone) for each reference.
Reference 1:
Reference 2:
Reference 3:
Name
:
Name
:
Name
:
Phone:
Phone:
Phone:
Mobile:
Mobile:
Mobile:
E-mail:
E-mail:
E-mail:
Other Information
Are you authorized to drive in the United States ?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If convicted of a felony, please provide a brief explanation
Start Month
Start Day
End Month
End Day
Your availability in 2008
:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Permanent
Temporary
Summer
Select boxes that apply
:
Full time
Part time
Overtime
Shift Work
Rotating Shift Work
Weekends
Cover Letter and Resume
Cover Letter (text only)
Resume (text only)
Upload Cover Letter (Word or PDF format)
Upload Resume (Word or PDF format)
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