DOT USA Intern Application Form

by Emily Marks — last modified 2008-07-17 18:50

Thank you for your interest in applying for the DOT USA Internship Program. Please review the application form and make sure you complete the application in full and include a resume in either text, Word or PDF format. You will not be able to make changes to the application once it has been submitted.

All questions marked with a red asterix are required.

Personal Information

Name: (Required)

Please include your first, middle and last name.

Street address: (Required)

Apartment/Unit #

City (Required)

State: (Required)

Zip Code: (Required)

Tel #: (Required)

Email: (Required)

Date Available: (Required)

/ /

Referred by:

Are you a citizen of the United States? (Required)

Have you ever been convicted of a felony? (Required)

Yes
No

If yes, explain:

Education

Highest Level of Education Completed (Required)

Please select the highest level of education you have completed. "Completed" means you successfully graduated from the program and have received the appropriate degree or certificate.

Education Details (Required)

Please indicate the Name of the School and the City/State, Dates Attended, specify if you Graduated and Year of Graduation, and Name of Degree/Certificate/Other.

Any Other Education

Please tell us about any other applicable education or studies.

Computer Skills

Please select the appropriate level:

Please list any computer/software skills and level of competency:

References

Please list three references.

Reference #1

Provide the full name, company name and address, and telephone of your referee. Also identify how you know the referee.

Reference #2

Provide the full name, company name and address, and telephone of your referee. Also identify how you know the referee.

Reference #3

Provide the full name, company name and address, and telephone of your referee. Also identify how you know the referee.

Previous Employment

1. Previous (Most Recent) Employment

Provide the name of the Organisation and Address, Job Description, Duration, Starting/Ending Salary, and Reason for Leaving. Please also include the name and telephone number of your previous Supervisor and specify if we can contact him/her as a reference:

2. Previous Employment

3. Previous Employment

Provide the name of the Organisation and Address, Job Description, Duration, Starting/Ending Salary and Reason for Leaving. Please also include the name and telephone number of your previous Supervisor and specify if we can contact him/her as a reference:

4. Previous Employment

Military Service

Branch:

From:/To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Resume

Resume or CV (Required)

Use this field to upload a copy of your resume in Word (.doc), PDF or text format. Please note that we cannot accept resumes in Word 2007 (.docx) or other formats.

Comments

Comments:

Please add any comments that you may have in the space provided.

Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to internship, I understand that false or misleading information in my application or interview may result in my release.

Confirmation (Required)

This box must be checked in order to submit your application.

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DOT USA Intern Application Form