Internship Application by 4J0l68f

VIEWS: 2 PAGES: 4

									                                  Internship Application
                                                  Joan B. Kroc
                                Institute for Peace & Justice
(Please type)

Date:

Name:
                    (last)                        (first)                            (MI)

SSN:

Email Address:

Current Address:
                             (street)                               (apt.)

         (city)                         (state)             (zip)            (country)

Phone:



Permanent Address (if different from above):

         (street)                                 (apt.)

         (city)                         (state)             (zip)            (country)

Phone:


Enrollment Status:                  Senior               Graduate/Professional School
                             Recent Graduate, degree earned

Term Available for Internship:                              summer (June-August)

         fall (September-December)                          spring (January-May)

         other (please list dates of availability and reason)




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                                     ACADEMIC EXPERIENCE

Undergraduate School(s):

                    (school)

         (street)                    (city)              (state)   (zip)             (country)

         (degree/major)                       (minors)             (GPA)             (graduation date)




                    (school)

         (street)                    (city)              (state)   (zip)             (country)

         (degree/major)                       (minors)             (GPA)             (graduation date)


Graduate School(s):
                    (school)

         (street)                    (city)              (state)   (zip)             (country)

         (degree)                                        (GPA)               (graduation date)

                    (Thesis Title)




                    (school)

         (street)                    (city)              (state)   (zip)             (country)

         (degree)                                        (GPA)               (graduation date)

                    (Thesis Title)



Academic Advisor:
                                     (name)                                  (department)
Address:
                    (street)                  (city)               (state)   (zip)               (country)
Email:

Are you applying for academic credit for this internship from your institution?
(if so, please provide the name of your internship advisor below only if it is different
from above)




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Internship Advisor:
                         (name)                               (department)
Address:
              (street)              (city)          (state)   (zip)          (country)
Email:




List course work relevant to this internship:




Do you speak more than one language:                 If so, please list the languages and
level of proficiency:




Computer skills: please list specific software applications and proficiency level:




List extracurricular activities and experiences applicable to this internship:




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4.    How did you learn of the internship?

Website                                              _____
      Your school’s Career Center’s website          _____
      Other website (please specify)                 _____


Professor                                             _____
Personal referral                                     _____
  (friend, classmate, etc.)
Career Counselor                                      _____
Saw flyer posted                                      _____
Other                                                 _____
(Please describe)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




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