Internship Application

Personal Information

Name*

First Last

Email Address*

Cell Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Do you have a valid driver's license*

Yes
No

Move United verifies through a Motor Vehicle Report

Have you ever been convicted of any crime including sex related or child abuse related offenses?*

Yes
No

Verification will be required

Are you authorized to work in the U.S.?*

Yes
No

Verification will be required

Do you have flexibility to travel in the U.S. (including weekends)?*

Yes
No

Which internship position are you applying for?*

Which internship term are you applying for?*

Preferred Start Date*

Preferred End Date*

Will this internship fulfill a college requirement?*

Yes
No

If yes, how many hours must be completed?

Why are you interested in applying for the internship?*

How did you hear about the Move United Internship program?*

Move United Employee
Move United Email Communication
Move United Member Organization
Move United Website
Job Board
Social Media (LinkedIn, Facebook, etc.)
Other

Other, please specify

Education

College*

Number of years attended*

Major or Degree*

Internship/Employment History

Employer #1

Employer #1 Start Date

Employer #1 End Date

Employer #1 Position

Employer #1 Reason For Leaving

Employer #1 Supervisor Name

Employer #1 Phone

May we contact them?

Yes
No

Optional additional information

Employer #2

Employer #2 Start Date

Employer #2 End Date

Employer #2 Position

Employer #2 Reason For Leaving

Employer #2 Supervisor Name

Employer #2 Phone

May we contact them?

Yes
No

Optional additional information

Employer #3

Employer #3 Start Date

Employer #3 End Date

Employer #3 Position

Employer #3 Reason For Leaving

Employer #3 Supervisor Name

Employer #3 Phone

May we contact them?

Yes
No

Optional additional information

References

Reference #1

Reference #2

Reference #3

Consent*

I understand and agree to submit the information above:

Yes. Please accept this as my signature

Attachments

Cover Letter*

Accepted file types: pdf, doc, docx, Max. file size: 64 MB.

Resume*

Accepted file types: pdf, doc, docx, Max. file size: 64 MB.

Internship Application

Personal Information

Education

Internship/Employment History

References

Attachments

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