Form

Please note that the application process is still open and we will begin interviews in the coming weeks.

We thank you for your patience and apologize for any inconvenience.

What is the current semester at the university?*

Spring 2012 Summer 2012 Fall 2012 Spring 2013

What date will you be leaving the Washington, DC Area?*

Month Day Year

First Name:*

Middle Initial:

Last Name:*

Phone Number

- Area Code Phone Number

E-mail:*

Birth Date*

Month Day Year

Do you live on campus?*

YES NO

If YES, which dorm?

Please provide the complete Dorm name

Address

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

Are you a citizen of the United States*

YES NO

If you are NOT a citizen of the United States, are you an International Student at HU?*

YES NO

Have you ever been convicted of a misdemeanor or felony?*

YES NO

If YES, please explain briefly:*

High School Name, City, State:*

Did you graduate?*

YES NO

If YES, please state the year of graduation:

Current College/University Name*

Attended From:*

/ Month / Day Year

Attended To:*

/ Month / Day Year

Cumulative G.P.A.*

Did you graduate?*

YES NO

If YES, list the graduation year and degree(s) received

If NO, list the expected graduation month and year

Other College/University Name

Attended From

/ Month / Day Year

Attended To

/ Month / Day Year

Major

Cumulative G.P.A

Did you graduate?

YES NO

If YES, list the graduation year and degree(s) received

If NO, list the expected graduation month and year.

Please list at least two (2) professional references (past employers/supervisors only).

1. Name*

Company Name*

Relationship

Phone Number

- Area Code Phone Number

E-mail

Please re-verify the email address

Address

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

Brief description of duties & responsibilities

2. Name*

Company Name*

Relationship

Phone Number

- Area Code Phone Number

E-mail

Address

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

Brief description of duties & responsibilities

Please list at least 3 campus organizations in which you are involved .

1. Organization Name*

President's Name*

Phone Number*

- Area Code Phone Number

How actively involved are you (with 0 being not active at all and 10 being extremely active)?*

2. Organization Name

President's Name

Phone Number

- Area Code Phone Number

How actively involved are you (with 0 being not active at all and 10 being extremely active)?

3. Organization Name

President's Name

Phone Number

- Area Code Phone Number

How actively involved are you (with 0 being not active at all and 10 being extremely active)?

Please, list any additional organizations in which you were involved:

Please answer all questions completely and truthfully.

1. What is your classification?*

High School Student Freshmen Sophomore Junior Senior Graduated (you graduated, but are not a Graduate Student) Graduate Student

2. What is your major?*

Write "N/A" if not applicable

3. Are you a returning Intern?*

YES NO

4. Please select the part(s) of the (MS)2 day that you worked with consistently.

Breakfast (7:15 - 8:15 am) In-Class (8:00 - 3:30 pm) Lunch/Free-cess Extended Enrichment/S.T.E.M. Saturday Academy Summer Academy

5. Please select the position(s) in which you are applying for:*

Volunteer In-Class Auxiliary Intern Extended Enrichment

6. Are you willing to get your substitute license?*

YES NO

Please briefly answer the following essay questions based on your application status:

New Applicants : How did you learn of the Internship Program (please be specific) and tell us your strengths and creative abilities, and the reason(s) why you should be an (MS)2 Intern.

Returning Interns : Why should you be invited back into the program, what would you do differently to better assist (MS)2/DOSP in creating a healthy and exciting learning environment, and briefly describe at least one new idea that you would like to see implemented that would be beneficial to the students.

....*

Please list your availability for the current semester. Allot a minimum of fifteen (15) minutes between your availability and classes for travel time, please upload your schedule and online grades.

Please list your availability for the current semester. Allot a minimum of fifteen (15) minutes between your availability and classes for travel time*

Fall Semester Spring Semester

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Please note that all applicants must have a 2.85 cumulative G.P.A. and attach a web copy of their current Student Detail Schedule and Web Transcript to the completed application. To attach these forms to your application, please save them as ".pdf" documents.

The documents should be named with your last name, first name and the document type.

Examples: Smith, Jane Transcript OR Smith, Jane Schedule

Please upload necessary pdf files (Student Detail Schedule, Web Transcript)

Upload a File

By entering my full name below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

PRINT YOUR FULL NAME*

Enter the message as it's shown*

2012 - 2013 Internship Application

APPLICANT INFORMATION

Education

EMPLOYMENT HISTORY

CAMPUS INVOLVEMENT

(MS)2 INTERSHIP POSITION

AVAILABILITY

VERIFICATION