Oh Henry Internship Application
Students interested in participating in OH HENRY Internship opportunities should complete this application in full.
 
The Henry County School Board does not unlawfully discriminate on the basis of age, sex, race, color, religion, disability, or national origin in its employment practices of educational programs and activities. The Administrator for Special Education is designated as coordinator of non-discrimination for access to and implementation of programs for students under Section 504 and the Americans with Disabilities Act. The Human Resources Administrator is designated as coordinator for non-discrimination regarding personnel matters under Section 504 and the Americans Disabilities Act. No person shall be denied employment solely because of any impairment which is related to the ability to engage in activities involved in the position or program for which application has been made.

THE HENRY COUNTY SCHOOL BOARD IS AN EQUAL OPPORTUNITY EMPLOYER.

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Email *
Student First Name *
Student Last Name *
Student's Cell Phone Number *
School *
Date of Birth *
Age *
Parent/Guardian *
Parent/Guardian Home Phone *
Parent/Guardian Work Phone
Mailing Address Street *
City, State, Zip *
Insurance verification:
In order for the student named above to participate in a career experience he/she must be insured against possible injury. 
 *
If other insurance, please state the following: 
Insurance Company, Policy Holder's Name, Policy Number 
In the event of an emergency, call (Name and Number):
 *
Please list two career fields in which you are interested:
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Do you know anyone who works in this field?
 *
If yes: Please list the person's name and business.
Do you have transportation to a worksite?
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Student: Participation in this program requires regular attendance and a willingness to accept internship responsibilities. If accepted, I am prepared to meet the obligations and arrange for my own transportation to and from the assignment. Please provide your electronic signature below.
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Parent/Guardian: If accepted, I approve of my child's participation in this program and understand that he/she must provide his/her own transportation.  In addition, I indemnify and hold the school system harmless from any and all liabilities while my child is participating in the program, including travel to and from the program sites.  Please provide your electronic signature below.
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