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Name: *
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Grade: *
Address: *
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Phone Number: *
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School Email Address: *
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Personal Email Address (so employers can respond to you) *
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Birthdate: *
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Emergency Contact, Relation to You: *
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Emergency Contact Phone Number: *
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Who is your counselor? *
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List any AP, college, pathway or career courses/workshops you have taken: *
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List any work experience (beginning with most recent), including internships. Add Employer information, dates, job title and duties: *
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Summarize special skills and qualifications acquired from employment or other experiences: *
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Why are you interested in an internship? *
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What is your area of interest (in what area/department would you like to intern)? *
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What goals have you set for yourself? Educational, career, personal? *
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List extracurricular activities (clubs, hobbies, sports, interests, etc.): *
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List honors and achievements: *
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List times available (e.g. Mondays 3-5 p.m., Saturdays 8 am. - 12 p.m.) including weekends and evenings: *
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How do you plan to get to your job site? Note: all travel expenses are the responsibility of the student. If this is a financial hardship, notify Ms Matson-Fennell (smatsonfennell@spusd.net) *
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The online application is complete. Thank you for applying for the SPHS Internship Program! *
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