New Intern Form

Student ID *

Name Of School *

Preferred Job Family(You Science) *

Grade *

• Senior
• Junior
• Sophomore
• Freshmen

Preferred Internship Type *

• Virtual
• On-Site
• In The Field
• Both Virtual Or On-Site

21st Century Skills *

• Yes
• No

Can Travel *

• Yes
• No

Currently Available *

• Yes
• No

Weekly Availability (hrs) *

• 1 to 5
• 6 to 10
• 11 to 15
• > 15

My Academic Experience *

My Work Experience *

My Interests *

What Would I Like To Learn *

Student Availability *

Fall 2022Spring 2023Summer 2023

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