Intern Application 2014-2015SY

Howard University Middle School 2015-2016 Internship Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Date of Birth*
Phone Number*

Area CodePhone Number
Are you a U.S. Citizen?*

YesNo
Are you a returning intern?*

YesNo
Copy of Resume*

Upload a File

Cancelof
Copy of Schedule*

Upload a File

Cancelof
High School Name, City, State:*
Did you graduate?*

YesNo
Check days of the week that you are available*

MondayTuesdayWednesdayThursdayFriday
Check times that you are available.*

8:00 am -10:30 am10:30 am - 2:00 pm2:00 pm - 3:30 pm3:30 pm - 4:30 pm
Brief description of why you are interested in working with the middle school*
Have you ever been convicted of a misdemeanor or felony?*

YesNo
Cumlative G.P.A*
Current University/College Name*
Do you live on campus?*

YesNo
Classification*

FreshmanSophmoreJuniorSeniorGraduate Student
Major*
Minor*
What intern position are you applying for?*

In-class (8:30 am - 3:30 pm)Auxilary (10:30 am - 2:00 pm)Extended Enrichment (3:15 pm - 4:30 pm)
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Howard University Middle School 2015-2016 Internship Application