Birth date (must be between 15–19 years old by May 1, 2020) *
Your answer
Phone Number *
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Phone Type *
Street Address *
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Zip Code *
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Current High School or College *
Your answer
Best way to contact *
Emergency Contact: Name and relationship *
Your answer
Emergency Contact: Phone number *
Your answer
Personal Reference: Name and relationship *
Your answer
Personal Reference: Phone/Email *
Your answer
Internship Schedule & Important Dates
Preferred Days and Times (You must commit to at least 80 hours total by the end of your internship.) *
Required
Statement of Intent
In approximately 100 words, describe why you are interested in the TEEN INTERNSHIP PROGRAM at Arizona Science Center. Include the skills you hope to develop and learn, as well as why you believe you are a good fit for the program.
Accommodations
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If you need accommodations, contact smitha@azscience.org or call 602.716.2000 x204.