JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WWHS/GHS 2023-2024 Internship Registration Information
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
Your answer
Mailing Address
*
Your answer
City, Zip
*
Your answer
E-Mail Address
*
Your answer
Parent/Guardian Names (Residence)
*
Those with which you live.
Your answer
What is your specific career goal?
*
Your answer
What is your current plan after high school?
*
Career
2 year degree
4 year college degree
What best describes your preferred Career Pathway?
*
Agricultural and Natural Resources
Business/Finance/Marketing
Commercial & Artistic Production Technologies
Construction
Arts & Sciences
Engineering
Health Sciences
Public Services
Transportation Systems
Is there a specific location you would like to request for an internship site? If so, please give name, address, phone and contact name.
*
If not, just type "NONE."
Your answer
List the courses you have taken or are currently taking that relate to your internship request area.
*
List all that apply.
Your answer
Have you had any previous or current work experience? If so, please list.
*
Your answer
What means of transportation would you use to get to an internship site?
*
Please list all that apply.
Your answer
Have you done any previous internships with ABSS, Graham High School or Williams High School?
*
If so, please list what semester. If not, please indicate, "NO."
Your answer
Will you have a part-time job, sports or other major commitments during the time in which you are planning to complete your internship?
*
If so, please list. If not, please indicate "NONE."
Your answer
Please list 2 teachers to whom we can issue teacher recommendation forms.
*
These should be teachers who have taught you in related course work.
Your answer
In your own words, please explain how this internship will relate to your career goals.
*
Your answer
Do you understand that completing this application is the first step to determine program eligibility? Do you further understand that should you become eligible and be place in an internship, you can only receive ONE CREDIT (maximum) for this experience?
*
I understand.
I DO NOT understand.
I understand that some internships may have special requirements established by a particular sponsor or site which may involve expense that would be the intern's responsibility.
*
I understand.
I DO NOT understand.
I agree that by checking YES below, I will adhere to all of the rules and obligations associated with this internship. I also agree that all of the information presented here is true and complete.
*
YES
NO
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Alamance Burlington School System.
Report Abuse
Forms
