Newburyport High School Internship Program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Newburyport High School Internship Program - Student Application Form

For NHS Student participating in the Internship Program

Email *

First Name *

Last Name *

Address: Street, City/Town, State, Zip *

Student Cell Phone Number *

Personal Email address

Guidance Counselor *

Bohler

Cokonis

FitzGerald

Nolan

Required

Grade *

11th

12th

Required

What is your intended future occupation? *

Do you already have an internship site in mind? *

Yes

If you have a site in mind, what is the name of the organization?

Can you provide your own transportation to the internship site? *

Yes

Acknowledgment of Rules and Expectations: Review each line below and check off line acknowledging that you understand these rules and expectations of the program. *

I understand that my application is subject to review for attendance and disciplinary standards.

I understand that I must remain in good academic standing to participate in the Internship Program. I also understand that any suspensions or non-adherence to the attendance policy (including excessive tardies) can make me ineligible for the program.

I understand that all internship assignments, including the orientation and exhibition as well as any writing assignments, are mandatory and that failure to complete these assignments can result in removal from or failure in the course.

Expected to be allowed to come in late after A-block or leave school early during G block to attend an internship.

There will be a minimum of 6 hours per week that will be required to be logged.

Required

Additional Student Responsibilities: Review each line below and check off each line acknowledging that you understand these rules and expectations of the program. *

Submission of Program Application, Policies, and Consent Form fully signed (all three pages)

Submission a Resume

Submission of any major attendance or discipline record issues

Required

Student Signature: type First and Last name in acknowledgment that you have fully reviewed this application form. *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Newburyport Public Schools. Report Abuse

Forms