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Application: GapYear120 Internship

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Application: GapYear120 Internship

Internship Preference *

On-Site
Virtual

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? *

Recommended by a friend or colleague
School Guidance Counselor/Advisor
Google
College Coach/Advisor
Instagram
Facebook
LinkedIn
Email
InternWorks Newsletter
Other* (describe below)

*

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

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