Name______________________________________________________
Date_________________________
College/University_________________________________________________________________________
College
Address__________________________________________________________
_________________________________________________________________________
College
Major_____________________________________
Expected Date of Graduation____________
Telephone______________________________________________________
Email_____________________
Permanent
Address_________________________________________________________________________
Telephone
____________________________ Parents or
Guardians________________________________
Extracurricular
Activities and\or
Affiliations___________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Special Honors,
Recognition, and\or Scholarships_____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Dates of availability
to intern__________________________________ to____________________________
Division of
the Media Research Center (News Analysis
Division, Free Market Project, or CNSNews.com)
in which you are interested in working and why:
See website for more information: Media
Research Center.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If an internship is not currently
available for that division, what is your second choice?
__________________________________________________________________________________________
__________________________________________________________________________________________
How did you hear about MRC's Youth
Education and Internship Program? _________________________________________________________________________________
__________________________________________________________________________________________
Are you available to come into MRC
for an interview? _______YES _______NO
If no, are you available for a phone
interview? _______YES _______NO
Please List the names and phone
numbers of three references that we may contact:
(former employers, professors,
counselors, faculty or organizational advisors, etc)
|
NAME
|
TELEPHONE
|
POSITION/TITLE
|
| _______________________ |
_______________________ |
________________________ |
| _______________________ |
_______________________ |
________________________ |
| _______________________ |
_______________________ |
________________________ |
