Company

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Do you seek an internship to obtain college credits?*

YES

NO

Our Internship Program is designed specifically for college or university students who are completing placement credits as part of their degree requirements.

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Applicant Name*

First Last

Email*

Phone

Pronouns*

Other Preferred Pronouns*

Preferred boroughs/areas for internship*

Brooklyn

Bronx

Manhattan

Queens

Staten Island

Other

Other preferred area(s) for internship*

Name of your College/University*

Major course of study*

What degree are you working toward?*

Other degree*

Do you require supervision by a licensed professional?*

YES

NO

What license is the supervisor required to have?*

How many hours per week would you be available to intern?*

What days of the week would you be available to intern?*

What hours of the day would you be available to intern?*

Desired start date of internship*

Anticipated end date of your internship*

Please describe your interest in interning with us

Please upload a copy of your resume*

Accepted file types: pdf, doc, docx, Max. file size: 128 MB.

University Internship Application

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