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2023-2024 Work Based Learning Internship Application
Please complete application when you do your scheduling. This is an application is not approval for an internship, you will be contacted by the Work Based Learning office to discuss your internship before you are approved.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student email address
*
Your answer
Student cell number
Your answer
Year of Graduation
*
Your answer
Which semester are you hoping to do your internship?
Semester 1
Semester 2
Which block are you hoping to do your internship?
Block 3
Block 4
Internship Interest (example education, automotive, medical, physical therapy, business, dental, veterinary, hospitality, cosmetology etc.)
*
Your answer
The Worked Based Learning office will assist students establish a site for internship. If you already have a site that you would like to intern at please give us the site name.
Your answer
Please give us the site address if you have a site
Your answer
If you already know who you mentor at your site will be please list their name.
Your answer
Site mentor email (if you have a site)
Your answer
Please describe your interest for a future career and why you would like to have an internship in this field.
Your answer
What is your plan after high school?
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian email address
Your answer
Parent/Guardian comments.
Your answer
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