Application: GapYear120 Internship

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)
No

Learn more about the Birkman Self-Assessment

Student Information

Student Name

First

Last

Student Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

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)

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)

College Coach/Advisor email address

Student: Please upload a current photo (upload as a .jpg file.)

Click or drag a file to this area to upload.

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

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How did you find out about InternWorks?

How did you find us 1

Independent Educational Consultant/Advisor

Independent Educational Consultant/Advisor

How did you find us 2

Recommended by a friend or colleague

Recommended by a friend or colleague

How did you find us 3

Other

Promotions

Discount Code

Total - Non-Refundable Deposit

Price: $2,125.00

A non-refundable deposit of 50% is due upon application submission, with the remaining balance due within 48 hours after the student has successfully completed a screening interview.

Total - Non-Refundable Deposit

Price: $1,912.50

A non-refundable deposit of 50% is due upon application submission, with the remaining balance due within 48 hours after the student has successfully completed a screening interview.

Total - Non-Refundable Deposit

Price: $1.00

A non-refundable deposit of 50% is due upon application submission, with the remaining balance due within 48 hours after the student has successfully completed a screening interview.

Payment

Credit Card

Card

Name on Card