To apply for an internship opportunity, complete the application below. Your Name First Name Middle Initial Last Name Contact Information Permanent Address Apt, Suite, Floor, etc. City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Phone Number Email Demographic Information Gender Race or Ethnicity White Black or African America Native Hawaiian and Other Pacific Islander American Indian and Alaska Native Asian Two or more races Hispanic or Latino Other Prefer not to answer Please indicate your race and/or ethnicity. Note: this will not play into admissions decisions. It will only be used for data collection, and diversity recording purposes. If you selected other in the race category, please elaborate. Are you a U.S. veteran, currently in the U.S. military, or a dependent of a veteran or current member of the military? * Veteran Current military Current Reserve Officer Training Corps (ROTC) Dependent of military member or veteran None of the above Prefer not to answer Note: this will not play into admissions decisions. It will only be used for data collection, and diversity recording purposes. Citizenship and Visa Information U.S. Citizen * Yes No If you are NOT a U.S. citizen, do you have a Visa that will allow you to undertake an internship in the U.S.? * Yes No I am a U.S. Citizen This information is requested in order to ensure sufficient time is allowed for the processing of paperwork required in relation to your Visa if you are offered an internship. Answering "no" is not considered as part of our selection criteria, as long as you can provide proof of work authorization at the time the internship offer is accepted. Please also note that although we try to make sure all paperwork is processed in time for you to participate in our program we cannot guarantee this. As START internships are short-term, we are unable to sponsor visas (specifically J1 visas). START cannot host interns as volunteers, and requires work authorization for all internship opportunities. * I have read the information above and understand that START cannot sponsor visas for internship positions, and that work authorization is required for START's Internship Program. I am a U.S. Citizen. If you selected "Other" for the type of Visa you will apply for, you MUST indicate here what arrangements you are making. Education Information High School Information I graduated from high school in the United States, a U.S. territory, or in a DoDDS. Yes No High School Name High School State High School State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon If you did not graduate from a high school in the United States, a U.S. territory, or DoDEA location, please indicate the first choice, "International." Undergraduate/Baccalaureate Institution Information Degree Obtained * Yes No Degree Title Graduation Date Field/Area of Study/Major Institution Name Institution State Institution State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Other Education Information Protected by Spam Master
