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Applications for Work Experience Projects - Navy Region Southwest

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					                            NAVY REGION SOUTHWEST – COMMUNITY SUPPORT PROGRAMS

                        How to Apply for Student Work Experience/Internship with
                        Community Support Programs (CSP) Navy Region Southwest



If you meet the following requirements for an CSP student work experience project

       College sophomore or will have attained that status prior to work experience session for which
        you are applying.

       Must be currently enrolled in “Work Experience” class.

       GPA is 2.75 or higher.

       You are a United States Citizen

       You are aware this is a VOLUNTEER position and are willing to sign a Volunteer Agreement.

Please proceed with the next steps:

       Complete “fill in” application, sign and date.

       Write a Cover Letter detailing what you hope to gain through a work experience project with
        CSP.

       Submit Application with Cover Letter to:

                                 Sharon Foerster
                                 CSP/N9 Regional Training
                                 937 N. Harbor Dr. Bldg. 1, First Floor
                                 San Diego, CA 92132
                                 Phone: 619-532-4712
                                 Fax: 619-532-2080
                                 Email: interns@navylifesw.com

Fall Semester 2011 Field Work Experience/Internship Applications for projects must be received no later
than:

               1 September 2011

You will receive courtesy notification when your application is received.

For additional information please call: 619-532-4712 or email: interns@navylifesw.com
                                    MWR Field Work Experience Application
                                       Community Support Programs
                                          Navy Region Southwest

If you are interested in field work experience with Morale, Welfare & Recreation (MWR), Community Support Programs, Navy
Region Southwest, please complete this application. Follow all instructions on the “Instruction” page to ensure your application
accurate. Resume may be included, but is not necessary.



PRIVACY ACT STATEMENT
    1. Authority : 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 1588, Authority to Accept Certain Voluntary Services; and
       E.O. 9397 (SSN)
    2. PRINCIPLE PURPOSES: To select and place student work experience interns; to supervise and monitor performance of
       student work experience interns; and to track overall program satisfaction and results.
    3. ROUTINE USES: None.
    4. DISCLOSURE: Voluntary. However, failure to disclose requested information may result in you not receiving full
       consideration for participation in the internship program.

ELIGIBILITY (requires a “yes” response for each of the following statements)

             Yes, I am a college Junior or will have attained that status prior to the work experience session for which I am applying.

             Yes, my major GPA is a 2.75 or higher.

             Yes, I am a United States Citizen


Semester:                  Summer                Number of Hours Available Per Week


General Information

First Name                                                             Last Name

Date of Birth                                    Gender                                        U.S. Citizen            Yes

Contact Information

Address

City                                                                   STATE                              Zip Code

Phone Number                                     Cell Phone                                  Email

University Information

University                                                             Year In                        Cumulative GPA
                                                                       School

Major                                                                  Major GPA                          Minor

University Advisor                                                     Phone                            Email


Anticipated Graduation Date

Program Area of Information

Primary Internship Area                 Auto Skills                              Alternative Area       Marketing




                                                                                                                                          2
Work or Volunteer Experience

1. Business/Organization                                                   Dates of                     to
                                                                           Service

                                       Primary Duties

2. Business/Organization                                                   Dates of                     to
                                                                           Service

                                       Primary Duties

3. Business/Organization                                                   Dates of                     to
                                                                           Service

                                       Primary Duties

Certifications, Accomplishments & Awards

Certifications with Expiration Dates

Accomplishments

Awards

Professional References (who can speak to your qualifications for this position)

1.Name                                                                     Relationship

                         Phone Number                                      E-mail

2. Name                                                                    Relationship

                         Phone Number                                      E-mail

3. Name                                                                    Relationship

                         Phone Number                                      Relationship

Acknowledgements & Permissions (requires a “yes” response for each of the following statements)

    Yes, the information I have provided above is complete and accurate.

     Yes, I grant Community Support Programs Training Officer permission to contact my university advisor and professional
references for the purpose of further determining my field work experience placement consideration.

     Yes, if required, I grant Community Support Programs NAF Human Resources permission to run a background check on me as
a final step in the work experience/internship placement process.

Applicant Signature                                                        Date

Print, sign and fax application and cover letter to: 619-532-2080.                    For more information call: 619-532-4712.

				
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