INTERNSHIPAPPLICATION
WeappreciateyourinterestintheChicagoEventManagementInternshipProgramandwewillbehappytoexplorewithyou
thepossibilitiesofjoiningourstaff.Pleasecompletethisapplicationyourself,ininkortypewritten,givingcompleteanswers
toquestions.Resumesmaybeattached;however,thisapplicationmustbecomplete.
GENERALINFORMATION
Intern’sName:
Address:
City: State: Zip:
SS#: / /
(Last)
(First)
(MiddleInitial)
PhoneNumber:
(StreetAddress&Apt.#)
Internshipposition(s)youwouldliketobeconsideredfor: Howwereyoureferredtoourcompany?
AreyouaU.S.CitizenorAuthorizedtoWorkinUS?
Yes No
Haveyoueverinternedorbeenemployedunderanothername?
Yes No
Ifyes,underwhatname?
Yes No
Haveyoueverinterned,beenemployedorcontractedbyourCompanybefore?
Ifyes,whenandwhere?
EDUCATIONINFORMATION
SchoolName
HighSchool
College
Graduate
Other
City&State
Years
Attended
Degreeor
SubjectsStudied
Coursesnowstudying:
EMPLOYMENT/INTERNSHIPHISTORY
Listmostrecentjoborinternshipfirst.Accountforalltimeincludingpaidandnon-paidexperience.
PositionHeld: Salary:
From: To:
CompanyName:
TypeofBusiness:
Address:
City: State: Zip:
Supervisor:
PhoneNumber:
Maywecontact?
Yes
No
BrieflyDescribeYourDuties: PositionHeld: Salary:
From: To:
CompanyName:
TypeofBusiness:
Address:
City: State: Zip:
Supervisor:
PhoneNumber:
Maywecontact?
Yes
No
BrieflyDescribeYourDuties: PositionHeld: Salary:
From: To:
CompanyName:
TypeofBusiness:
Address:
City: State: Zip:
Supervisor:
PhoneNumber:
Maywecontact?
Yes
No
BrieflyDescribeYourDuties: ReasonforLeaving: ReasonforLeaving: (StreetAddress&Suite.#)
ReasonforLeaving: (StreetAddress&Suite.#)
(StreetAddress&Suite.#)
PositionHeld: Salary:
From: To:
CompanyName:
TypeofBusiness:
Address:
City: State: Zip:
Supervisor:
PhoneNumber:
Maywecontact?
Yes
No
BrieflyDescribeYourDuties: Forperiodsofnon-employmentfourweeksorlonger,listdatesandreasonsbelow:
ReasonforLeaving: (StreetAddress&Suite.#)
PROFESSIONALREFERENCES
Pleaseprovidethenames,addressesandphonenumbersforthreepersonsnotrelatedtoyouwhocanprovideinformationrelative
toyourabilitytoperformwork.
1.
Name Address Telephone
2.
Name Address Telephone
3.
Name Address Telephone
PERSONALREFERENCES
Pleaseprovidethenames,addressesandphonenumbersfortwopersonsnotrelatedtoyouwhocanprovideinformationabout
yourpersonalitytraitsandstrengths.
1.
Name Address Telephone
2.
Name Address Telephone
SKILLS&QUALIFICATIONS
Pleaseprovideanyadditionaldetailsrelatedtospecialskills,experienceorqualifications.
PLEASEREADCAREFULLY
MysignatureindicatesthatIunderstandandagreetoalloftheconditionslistedbelow.
Icertifythatalloftheforegoingstatementsaretrueandcorrecttothebestofmyability.Iunderstandthat
misrepresentationsoromissionoffactsiscausefordenialofparticipationtotheInternshipProgram,
employmentordismissal.
Iunderstandthatinquirieswillbemadeofformerinternships,employersandreferencesregardingwork
performanceandofeducationalinstitutionsregardingtranscripts.Ireleasefromallliabilityallpersons,
companiesandcorporationsandeducationalinstitutionssupplyingsuchinformation.Additionally,Iwill
indemnifyandholdharmlessthecompanyanditsofficers,directors,employees,andagentsagainstany
liability,whichmightresultfrommakingsuchaninvestigation.
IunderstandthatmyinternshipisatwillandthatIorthecompanycanterminatetheinternship,withor
withoutcause,atanytime,withorwithoutpriornotice.IalsounderstandthatIwillberequiredtoauthorizea
BackgroundChecktoconfirminformationcontainedinthisapplicationaswellasacriminalbackground
search.
Signature
Date