ARCHIVE prof internship application - do not use

Program

Virtual SchoolYear60
Virtual GapYear120

On-site internships are available only on a case-by-case basis.

Program

Virtual SchoolYear60
Virtual GapYear120

On-site internships are available only on a case-by-case basis.

Program

Virtual SchoolYear60
Virtual GapYear120

On-site internships are available only on a case-by-case basis.

Student Info

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 - American Citizen *

Yes
No

Student - Cell Phone Number *

Student - Date of Birth (MM/DD/YYYY) *

Student - High School/College *

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

Student - Current Grade/Year *

Student - Guidance Counselor/College Advisor Name *

Student - Guidance Counselor/College Advisor Email Address *

Student - Photo (Photo must be uploaded 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 Info

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 us?

How did you find us? *

*

Promotions

Discount Code

Payment

Total - Non-Refundable Deposit

$ 0.00

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.

Credit Card *

Card

Name on Card

ARCHIVE prof internship application – do not use

Program

Student Info

What career area interests you?

Parent Info

How did you find us?

Promotions

Payment