| Please indicate which program will be of preference to you:Although reasonable efforts will be made to accomodate requests,CRF cannot guarantee first preference |
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First Name
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Last Name
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Home Phone Number
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Home Address
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Apartment
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City
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State
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ZIP Code
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| Email |
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| Cell Phone Number |
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School
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Year Of Graduation
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| Birthday |
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| Age |
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| How would you describe your ethnicity? Answers will not affect acceptance decisions. Your cooperation is requested and appreciatedbut not required. |
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| ELIGIBILITY QUESTIONS: |
Click if "Yes" |
| Do you have documentation to work in the US?(e.g. Social Security card and/or US Passport) |
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| Did either of your parents graduate from college?(This includes degrees from country of origin if different than US) |
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| Do you participate in the Free/Reduced Meals Program at your school?(proof required) |
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| Will you be participating in other programs during summer or off-track? |
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| Will you be available to attend all mandatory seminars?(see calendars enclosed) |
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| Will you be available between the hours of 8 and 5 Monday-Friday?(see work dates in calendar) |
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| If No please explain: |
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| How would you get to work and the seminars? |
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| Number 1-8, (Number 1 being your top choice) the order of yourpreference for the areas you would like to work in:Although reasonable efforts will be made to accomodaterequests, CRF cannot guarantee first preference |
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| Your first choice |
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| Your second choice |
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| Your third choice |
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| Your fourth choice |
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| Your fifth choice |
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| Your sixth choice |
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| Your seventh choice |
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| Your eighth choice |
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| Parent/Guardian Name |
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| Parent/Guardian Phone |
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| Occupation of Mother/Guardian |
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| Occupation of Father/Guardian |
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| List any paying jobs you have had. Provide the name of the organizations/company you worked for,your position, your duties and responsibilities, and the dates you worked. |
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| List some of your skills and abilities (include languages and computer programs, typing skills, etc.) |
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| List school activities that you have been involved in that are important to you. Please include your involvement with sports and clubs, any leadership positions or awards, and the year(s) of participation. |
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| List some of your interests |
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| List any volunteer work in which you have participated. Provide the name of the organization you worked for, your duties and responsiblities, and the dates you worked. |
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| How or from whom did you hear about the Internship program (name of teacher, counselor or friend)? |
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