EmailMe Form - Internship Application

Personal Information

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Your Email *

POSITION/AVAILABILITY:

Semester Available *

Fall

Spring

Summer

Days Available *

Hours Available *

AM

PM

How many hours a week are you applying to Intern?

What date are you available to start your internship? *

MM / DD / YYYY

EDUCATION:

College/University *

Minor

Major

Is the internship is required for school credit? *

Yes

No

Please fill out only if internship is required for school credit hours.

Student Advisor

Phone Number *

### - ### - ####

Advisor Email

SPORTS HISTORY:

Previous experience with sports, fitness, recreation: *

Goal for Internship: *

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *

Date *

MM / DD / YYYY