School Information

Name of School or Program *

City / State *

Name of Department *

Degree / Field of Study *

What is your classification as of today? *

Expected Graduation Date *

Instructor / Counselor Name *

Instructor / Counselor Title *

Instructor / Counselor Phone *

Instructor / Counselor Email *

Are you requesting Internship Credit for school? *

Yes

No, just experience

Not sure yet

Motivation & Readiness

What are your future career goals or aspirations? *

What are you hoping to gain from this internship? *

What special skills, talents, interests, or specialties do you want to build during this internship? *

Is there anything we need to know about your schedule, needs, or limitations? *

Resume & Experience

Tell us about any past work, project, or volunteer

experience you’ve had.

Resume:

Upload your current resume *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Project or Experience:

What was the project or experience? *

What was your role? *

How did you contribute to the project or experience? *

What was a problem or challenge you faced, and how did you handle it? *

What was the outcome of the project or experience? *

What did you take away from the experience? *

Where did the project or experience take place? *

When did you work on the project or experience? *

Who was your coordinator, team lead, or supervisor? *

Additional Information (optional)

Portfolio

Showcase your best work.

(optional)

Portfolio / Proof of Project Experience

Portfolio Project 1:

Where:
When:
Role:
Description:
Contact Person:
Individual or Group Work:

Portfolio Artifact 1:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 3 Files )

Portfolio Project 2:

Where:
When:
Role:
Description:
Contact Person:
Individual or Group Work:

Portfolio Artifact 2:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Portfolio Project 3:

Where:
When:
Role:
Description:
Contact Person:
Individual or Group Work:

Portfolio Artifact 3:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Link Up to 3 Videos of you showcasing your work (optional):

URL Link to Your Video(s):

Video 1:
Video 2:
Video 3:

Social Media

Your Website (optional)

Facebook URL Link (optional)

LinkedIn URL Link (optional)

YouTube URL Link (optional)

TikTok URL Link (optional)

Instagram URL Link (optional)

Headshot & Bio

WE DO NOT DISCRIMINATE!

We use your headshot and bio for promoting you on our social media, newsletter, photos/videos, etc.

Headshot or Professional Image (Required):

Upload Headshot *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Short Professional Bio (Required):

Upload a Fully Prepared Bio or a Few Bullet Points We Can Enhance for You: *

Upload a file

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Contact Information

School Information

Availability

Focus Area / Interests

Motivation & Readiness

Resume & Experience

Resume:

Project or Experience:

Portfolio

Social Media

Headshot & Bio

Acknowledgements