Internship Application

Congratulations on your academic progress! Please complete the following form to apply for the internship program that interests you. Upon review of your internship application and academic achievements you will be advised of the next steps in this process.


Please complete the form below

I certify that the applicant is a resident of the City of Chicago and will be between the ages of 14-19 at the beginning of the 2018-2019 school year. All other submissions will be void. 

Student Information
First Name *
First Name
Address *
Address
Date of Birth *
Date of Birth
Home Phone *
Home Phone
Cell Phone
Cell Phone
Parent/Guardian Information
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
Parent/Guardian Work Phone *
Parent/Guardian Work Phone
Questionaire