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Internship Application

Home > Academics > Internships and COCAL > Internships > Internship Application

Academics

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Internship Application

To apply for an Internship, please complete the form below.

You are required to obtain a recommendation from a FM Faculty member to complete your application. Please refer them to the Internship Faculty Recommendation Form.

Name * Required
First Last
Address * Required
Street Address Address Line 2 City State ZIP Code
Cell Phone * Required
May we text you with important updates? * Required
- Yes
- No
Email * Required
Academic Area of Study? * Required
- Arts and Digital Design
- Business
- Computer and Information Technology
- Disney College Program
- Education
- Health Professions
- Human and Public Services
- Technology
Do you have an Internship Site Preference?
Education (Choose all that apply) * Required
- High School Graduate
- Current High School Student
- GED/TASC Diploma
- Did not Graduate
- BOCES Graduate
- Current BOCES Student
- College Graduate
- Current College Student
Significant Coursework/Special Skills: List any additional experiences; skills or personal qualities that you feel will be applicable to the academic area position you are applying for. For example, volunteer, military, life experience, apprenticeship, etc.
Have you ever been convicted of a felony? * Required
- No
- Yes
WORK EXPERIENCE-Employer Name

List the most recent position first. May include relevant volunteer experiences and extra curricular activities.
Employer Address
Street Address Address Line 2 City State ZIP Code
Employer Phone
Postion, Job Duties, Date of Employment and Reason for Leaving:
May we contact this employer for a reference?
- Yes
- No
Employer Name
Employer Address
Street Address Address Line 2 City State ZIP Code
Employer Phone
Postion, Job Duties, Date of Employment and Reason for Leaving:
May we contact this employer for a reference?
- Yes
- No
Employer Name
Employer Address
Street Address Address Line 2 City State ZIP Code
Employer Phone
Postion, Job Duties, Date of Employment and Reason for Leaving:
May we contact this employer for a reference?
- Yes
- No
I authorize the Internship Coordinators to consult with other faculty, staff, and administrators about matters related to my success at FM. In addition, for the purpose of placement in an internship training site, I authorize the staff to provide information to potential trainers for the purpose of assisting in my placement. This Release of Information will remain in effect for the duration of my participation and for any follow-up related to my participation. Unless revoked in writing, this release and exchange shall remain in force. I also verify that all the information provided in this application is correct. FM has permission to verify all information provided. * Required
I authorize the release and exchange of information.

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