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D207 Summer 2017 Internship Application (Non-Credit)
Please complete this application to summarize your experience as well as your internship goals.

Please respond by May 26, 2017.

First Name
Last Name:
ID Number:
E-mail address:
What is your home school?
Student Cell Phone:
Periods you have "Free" this semester.
(Lunch, Study Options, early dismissal...)
Which internship are you interested in? Please list company/organization name from spreadsheet.
What goal(s) do you hope to accomplish by participating in the Internship program?
Have you taken the internship class before?
What courses have you taken to help prepare you for an internship in this field?
Please list any summer commitments you may have. Sports, vacations, work, family obligations, etc.
What type of transportation to an internship site would you have?
Check all that apply
How did you hear about this opportunity?
Please enter the staff or teacher's name that referred you to Mrs. Cook.
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