Interns in Industry Student Application

Name:
Phone:
Address:
E-mail:
Are you legally eligible for employment in the U.S.?
 Yes No
Permanent Address:
School Name:
Dates Attended
Campus Location:

City
State

Expected date of graduation:
Major/Minor(s)

Internship Position(s) & Announcement #(s)

If an internship required in your major/program, describe the requirements and # of credits to be awarded. Also include the name & email of the faculty advisor.
Dates you are available to complete the internship:
Other comments that may assist us in selecting you as an intern?
Please upload your resume here:
Please upload your Cover Letter here:

E-mail: marym@siouxfalls.com

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