Mecklenburg County Public Schools
Technology Internship Application
Applicant Information
Last Name: *
Your answer
First Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Phone:
Your answer
Cell Phone: *
Your answer
Email Address: *
Your answer
How did you hear about our internship program? *
Your answer
Availability
General Availability *
(Check all that apply)
Required
Vacation Dates
Your answer
Areas of Interest
Please indicate which area(s) interest(s) you: *
(Check all that apply)
Required
Education/Employment
Current Employment Status *
Are you currently a full-time student? *
If you answered "Yes" above, please indicate school you currently attend:
Your answer
Grade Level: *
Computer Skills/Software Used: *
Your answer
Personal Information
Why are you interested in an internship in our organization? *
Your answer
What specific experience would you like to gain through this internship? *
Your answer
Describe your long-term goals: *
Your answer
Professional References
Please provide three references. If your are a Mecklenburg County Public School student, please use at least two teachers as references.
Reference 1
First/Last Name *
Your answer
Relationship *
Your answer
Email Address *
Your answer
Reference 2
First/Last Name *
Your answer
Relationship *
Your answer
Email Address *
Your answer
Reference 3
First/Last Name *
Your answer
Relationship *
Your answer
Email Address *
Your answer
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship assignment, I understand that false or misleading information in my application may result in my release. *
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