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Internship Preference*

Hybrid

Remote

*Hybrid internships combine an on-site and remote work experience. Due to shifting workplace trends, many companies/organizations (including our Employer Partners) have adopted a hybrid work model. Fully on-site internships may be available on a case-by-case basis but are not guaranteed.

Birkman Signature Self-Assessment*

Yes ($500 fee)

Learn more about the Birkman Self-Assessment

Student Information

Student – Name*
First Last

Student – Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student – Gmail Address*

*InternWorks requires that all students use a personal (not school) Gmail address. Visit gmail.com to create a free account.

Student: Are you an American citizen?*

Yes

No

Student – Cell Phone Number*

Student – Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY

0 of 10 max characters.

Name of High School or College*

Location of High School/College (City, State, Country)*

What is your current grade level or year in school?*

Name of College Coach/Advisor (if applicable)*

Student – Photo (Photo must be uploaded as a .jpg file.)
Accepted file types: jpg, png, Max. file size: 256 MB.

What career area interests you?

What is your first career area of interest?*

What is your second career area of interest?*

Other (optional)

Parent Information

Parent/Guardian – Name*
First Last

Parent/Guardian – Relationship To Student*

Parent/Guardian – Primary Phone Number

Parent /Guardian – Alternate Phone Number

Parent/Guardian – Email Address*

Parent/Guardian – Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you find out about InternWorks?

*
Independent Educational Consultant/Advisor

Independent Educational Consultant/Advisor*

*
Recommended by a friend or colleague

Independent Educational Consultant/Advisor
Recommended by a friend or colleague
School Guidance Counselor/Advisor
Google
College Coach
Instagram
Facebook
LinkedIn
Email
InternWorks newsletter

Other* (describe below)*
Other* (describe below)

*Describe here if you selected "Others"

Promotions

Program Fee

Total

Fee: $5,000.00

Deposit

Discount Code

Fee: $2,500.00

A non-refundable deposit of 50% is due upon application submission. By submitting this application, you authorize InternWorks to charge your credit card for the remaining balance 60 days after your initial deposit payment. The final payment will be automatically charged to the credit card provided on the 60th day following the deposit payment.

Payment Information

Card Number*

Card Number

MM/YY*

MM/YY

CVV*

CVV

Name on card*

Name on card

Phone
This field is for validation purposes and should be left unchanged.

apply-gap-year

Student Information

What career area interests you?

Parent Information

How did you find out about InternWorks?

Promotions

Program Fee

Total

Fee: $5,000.00

Deposit

Coupon code applied successfully

Fee: $2,500.00

Payment Information