LA Internship Semester Program Application Form

LA Internship Fall 2012 Application Form

Personal Information
Name*
FirstLast
Temple ID (or Social Security Number for non-Temple students)*
Current Address*
Street AddressAddress Line 2CityStateZip Code
Cell Phone*
Email (Temple or home university email address)*
Alternate Email Address
- Address of Parent, Guardian, or Next of Kin is same as Permanent Address.
Address of Parent or Guardian
Street AddressAddress Line 2CityStateZip Code
Phone
Email
Academic Information
University and School Attending*
Non-Temple students should submit a copy of their official transcript to SCT Study Away.
Academic Classification*
Major*
GPA (Overall)*
Credits Earned to Date*
How did you hear about the Temple Los Angeles program?*
Professional Information
Please give the information of the faculty who will be writing references for you.
Name*
Institution*
Department*
Name*
Institution*
Department*
Describe the present state of your academic work and how you would like the LA Internship program to contribute to your personal and academic development. *
One to two pages typed
Resume*
Please attach your resume
List your preferences for internship possibilities*
Describe professional or related work experience*
What are your career objectives?*
List previous travel experiences*
What do you hope to gain from your internship? What kind of work do you see yourself doing? What kind of company or work environment are you interested in?*
Is there anything else we should know or that you would like to tell us?
Do you have any special medical considerations?*
Are there other students who are applying with whom you would like to share an apartment? (Please list them.)
May we release your name and contact information to prospective roommates?*
- Yes
- No
Photos may be taken at all Temple SCT Study Away events and course excursions. Some of these photos will be displayed on the SCT Study Away website. By participating in a Temple SCT Study Away program you agree that your photo may be published on our website. You also agree your photo or likeness of you may be used for promotional purposes via video, print, or web, without compensation to you.
I authorize SCT Study Away staff to access my educational records, disciplinary records, and all information contained in those records, maintained by Temple, or any other educational institution that I have attended. I certify that the statements I have made on this application form are correct and agree to notify Temple University if I am placed on academic and/or disciplinary warning or probation at my home institution or if there is a change in circumstances which might compromise my success in studying away.
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LA Internship Semester Program Application Form

LA Internship Fall 2012 Application Form

Personal Information

Academic Information

Professional Information

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