Internship Application PERSONAL INFORMATION Name Birthdate School Year Social Security Number ---FreshmanSophomoreJuniorSeniorGraduate Student Address City State Zip Code Home Telephone Cell Phone Email AVAILABILITY Start: End: Available Work Days Interview Availability ctrl+shift for multiple selections Select all that applyMondayTuesdayWednesdayThursdayFriday Select all that applyOnlineTelephoneIn Person EMERGENCY CONTACT INFORMATION Contact #1 Name Phone Relationship Contact #2 Name Phone Relationship Contact #3 Name Phone Relationship CAREER & EDUCATIONAL OBJECTIVES What interested you to apply for an internship at Mechanical Rubber? What are your academic and/or educational goals for the future? Please list, in order of preference, occupations you want to pursue as future career goals. EDUCATION College Year graduated (or anticipated) What are your two favorite subjects in school? Explain skills learned in each. What extracurricular activities or clubs are you involved with? Special Skills / Expertise JOB SKILLS Identify your strongest work-related skills and explain why they are your strongest. Give examples of teamwork skills you use on a regular basis. Describe four personal management skills and give an example of how you use each skill in your daily life. REFERENCES Name Address Phone Business Years Known Comments Upload Resume if available (not required) AUTHORIZATION "I, the applicant, certify that the information given in and with this application is true and complete to the best of my knowledge and that it may be viewed by employers for the purpose of determining potential placement. "I agree to attend any safety courses or sessions required for individual programs or departments. I understand that my application does not guarantee employment." Date: Signature: You will be required to sign this form in person, should you be called in for an interview. [recaptcha] We use cookies and other tracking technologies to improve your browsing experience, to analyze our website traffic, and to understand where our visitors are coming from. By using this form, you consent to our use of cookies and other tracking technologies.
