Student Intern Application Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you a United States citizen and authorized to work in the United States? * Yes No What position are you applying for? AutoCAD Technician (Intern) Office Clerical Assistant (Intern) Data and Records Technician IT (Intern) Field Crew Rod person (Intern) What day can you start? MM DD YYYY Are you employed now? * Yes No List all Education * (school name, year graduated, course of study) List all skills that would beneficial to your employment: * (computer skills, software skills, construction, etc.) Please list (3) personal and school references * ( Name, Email, Contact Phone Number) Thank you!