Student Application Form
Welcome to the Student Application for Oregon MESA's Digital Design Lab Apps (D2L Apps) Summer Internship, held at Portland State University

Please complete this application by 5 pm on Friday, July 1st. You may revise your application after starting it. However, all revisions must be submitted before the July 1st deadline.


All questions can be forwarded to ormesa@pdx.edu

What is your first name?
Your answer
What is your last name?
Your answer
How many years have you been in Oregon MESA?
Your answer
Gender
What is your birth date?
MM
/
DD
/
YYYY
Mailing Address
Your answer
Phone Number
Your answer
Email
Your answer
What is your grade level for 2016-2017 school year?
What school do you attend?
Your answer
Which of the following do you identify as?
Please check all that apply
Are you eligible for free/reduced meals?
Why are you interested in becoming a D2L Apps Intern?
In 250-500 words, please touch on one or more of our program requirements (curiosity, dedication, passion for technology, interest in solving real-world problems, and willingness to learn new things).
Your answer
If you have a resume on file, please email it to ormesa@pdx.edu
If you do not have a resume, please give us a brief description of your prior work or volunteer experience.
Your answer
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