Internship Career Connections Program (ICC) Application

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The Internship Career Connection Program requires a student to take a course, which includes 15 hours of academic instruction and preparation for a paid work experience of 150 hours on the job with a participating employer.

Student Information

I am a student at the _______________. *

Are you a School Counts scholarship recipient? *

For information on School Counts visit https://www.rcsj.edu/school-counts-faq

I am applying for the following semester:

Student ID: *

I am applying for the following year: *

Major *

Name (First, Last) *

Address (Street, Apt. Number) *

City/State/Zip *

Phone (Home/Cell) *

Student Email *

I would like to use my current job as my ICC experience (pending approval) *

Please provide the name of the employer, supervisor name, supervisor title, email and phone number for your supervisor and employer address. *

What type of job or position are you looking for? Be specific. How far are you willing to travel, what field are you interested in, evening/weekend hours etc. *

How did you hear about the ICC Program? *

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