Internship- Spring 2022
Mrs. Gipson - 4th block
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Email *
First Name *
Last Name *
Student # *
Graduation Year *
Counselor
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Plans after high school
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Provide additional information about your plans after high school (for example, what college, what branch of the miliatary, what field will you work in etx.) *
What is the name of your current employment
What is the address? *
City, State and Zip code (place of employment) *
Phone number (include the area code) *
First and last name ofyour supervisor/manager *
What is the month/date/year of when you started working there *
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What is your job title? *
How much do you earn per hour? *
On average, how many hours do you work per week? *
What is your phone number? *
Select yes, that you acknowledge that you have a weekly assignment in this class AND that you have to check-in daily (and on time) *
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