APPLICATON FOR INTERNSHIP
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If applying for more than one position please fill out an application for each position.
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Position you are applying for
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CONTACT INFORMATION
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Last Name
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First Name
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Middle Name
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Home Address
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Home Phone
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Email Address
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Cell Phone
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Work Phone
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Whom should we notify in case of emergency?
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Name:
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Relationship to you:
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Phone:
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STUDENT STATUS
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BlazerID
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Student Status
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Graduate : Masters Level
Doctoral Level
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Undergraduate : Freshman Sophomore
Junior Senior
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Expected date of graduation
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Major
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GPA
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ACT or SAT
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Verbal:
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Quantitative:
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GRE
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Verbal:
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Quantitative:
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TOEFL
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EMPLOYMENT ELIGIBILITY
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Are you eligible for federal work/study?
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No Yes
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Are you currently taking classes?
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No Yes
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If yes, please provide:
# of hours you are currently registered:
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Are you currently on CPT?
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No Yes
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If yes, please provide:
Beginning and Ending dates:
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Are you currently on OPT?
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No Yes
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If yes, please provide:
Beginning and Ending dates:
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Are you currently working in another department at UAB?
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No Yes
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If yes, please provide:
Name of Department:
# of hours you work per week:
Are you willing to terminate your current assignment if you are offered an IT Intern position?
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Skills:
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No Previous Experience in this Area
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Skill Level: Beginning
(I’ve done this a little, but have a lot more to learn; I will be slow at first and will ask a lot of questions)
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Skill Level:
Average
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Skill Level: Expert
(I’m a total whiz, can do things other people don’t know how to do, and am often asked to help others)
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Programming:
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Structured / modular programming
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SQL
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Bash
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C
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C++
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Java
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Perl
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PHP
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Python
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Javascript
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Shell scripting
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C# .NET
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Visual Basic .NET
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Visual Basic 6.0
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Web Development and Design Tools:
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CSS
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HTML
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JSP
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ASP
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ASP.NET
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Web 2.0
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Adobe Illustrator, Photoshop
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Adobe InDesign, QuarkXpress
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Macromedia Flash, Dreamweaver
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Creating graphics for the web
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Writing and Interviewing:
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Technical Writing
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Non-technical Writing
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Item writing
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Report writing
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Interviewing Skills
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Focus Group Experience
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