First Name: *

Last Name: *

Student ID Number: *

Current Phone Number: *

Paine College Email Address: * Only requests with VALID Paine College email addresses will be honored.

Major & Concentration: *

Minor (if applicable):

GPA: *

Intended period of internship (i.e. summer 2014): *

Did internship opportunities play a role in your decision to attend Paine? * YESNO

If your GPA is less than 3.2 would you consider an unpaid or service internship? * YESNO

Please write a brief statement about your ideal internship experience, how it fits into your future goals, how it will enhance your academic and professional career, and what qualifies you for that internship. *

By submitting this form I have registered my interest in competitive internships offered by ACES Leadership Development. I will keep current with emails from Leadership Development sent to my @paine.edu account and notify the Office of Leadership Development of any internship opportunities that I apply for.

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