The application packet, including required documentation and attachments are to be submitted by the due date.
Email address *
Enter today's date *
Your LAST Name: *
Your FIRST Name: *
Your Middle Initial:
NC A&T SU Student ID Number (starts with 9): *
UNCG Student ID Number (starts with 8): *
Mailing Address (street name, number, etc.) *
Home/Cell Phone: *
Work Phone:
Anticipated date of graduation: *
Enter as Month/Year, ex: 05/2019
Will you be employed next semester? *
If you will be employed, which describes your employment type?
Have you ever been convicted of any criminal charges, including a felony? Note: most participants will need to be able to pass an agency-based background check. *
Do you have limitations (physical and/or emotional) of which we should be aware in planning your field internship? *
If you do not, please enter "none" or "n/a"
Do you have a valid N.C. driver's license? *
Will transportation be a problem for you? *
If you indicated transportation will be a problem, please explain:
Short answer section
Please type your responses directly into the text boxes below. You may wish to compose your answers offline and then paste them here.
List the strengths you have which may contribute to a successful internship: *
What do you want to gain from the generalist internship experience? Be specific. Include areas of your professional development that you may need to especially address. *
Explain any issues that may impact your choice of possible internship sites. For example, if a student is a parent with young children, is in recovery for substance abuse, has no car or a suspended driver’s license, has caretaking responsibilities for a family member, etc., such issues need to be present to the Co-Directors of Field Instruction in advance to assist with planning for your internship. It is the student’s responsibility to apprise the Co-Directors of Field Instruction of this information. *
If nothing applies, please indicate that.
Document Uploads - 2
In this section you will upload: 1) your resume and 2) your driver's license & proof of automobile insurance
Please upload your professional resume following the chronological template below. NOTE: The Career Services office on either campus is available to assist students in developing a professionally constructed resume, free of charge. *
Captionless Image
Upload proof of valid driver’s license and automobile insurance (copy of declaration page and copy of driver’s license). *
You can upload these as either one single attachment or two separate files.
A copy of your responses will be emailed to the address you provided.
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