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Internship Application Form

Our internship program offers a real-world work experience to college and voc-tech
students. During your internship, you will have day-to-day work assignments and
project responsibility with real meaning.

Who is eligible to apply?
College (including community college and voc-tech) students who have an interest in
pursuing a career in the electrical industry business.


First Name: _____________________________________________________________________________________________

Last Name: _____________________________________________________________________________________________

Email Address: __________________________________________________________________________________________

Phone Number: __________________________________________________________________________________________

Permanent Address: ______________________________________________________________________________________

Colleg/Voc-tech School Name: ______________________________________________________________________________

School Representative for Internship Program: __________________________________________________________________

School Representative Phone Number: ________________________________________________________________________

School Representative Email Address: ________________________________________________________________________

Are you legally eligible to work in the United States? _____________________________________________________________

Date available to perform internship:  Start Date: ____________________________End Date: ____________________________


Education:
TYPE OF SCHOOL NAME AND LOCATION DEGREE/DATE MAJOR
High School _______________________ _______________________ _______________________
College _______________________ _______________________ _______________________
______________________________ 
_______________________ _______________________ _______________________
Scholastic Honors and/or Licenses _______________________ _______________________ _______________________
______________________________ ______________________________________________________________________

Employment History:

Most Recent Employer __________________________________________________ Phone Number_____________________

Address _______________________________________________________________________________________________

Supervisor (Name & Title) _________________________________________________________________________________

Position Title ___________________________________________________Start Date ____________ End Date ____________

Description of Duties _____________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________


Employer _____________________________________________________________ Phone Number_____________________

Address ________________________________________________________________________________________________

Supervisor (Name & Title) __________________________________________________________________________________

Position Title ___________________________________________________Start Date ____________ End Date ____________

Description of Duties ______________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________


References:

Name __________________________________________________________________ Phone Number____________________

Company/School _________________________________________________________________________________________

Relationship ________________________________________________________Known How Long_______________________



Name _________________________________________________________________ Phone Number____________________

Company/School _________________________________________________________________________________________

Relationship ________________________________________________________Known How Long_______________________



Name __________________________________________________________________ Phone Number____________________

Company/School _________________________________________________________________________________________

Relationship ________________________________________________________Known How Long_______________________



Why you would like to work as a 3E Intern? ______________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________



I certify that all of the statements in this application are true and complete to the best of my knowledge. I understand that a false answer may be grounds for not considering me for internship.


Signature _______________________________________________________________________ Date_____________________


NOTE: After completing the internship application form, scan and then email to internship@3E-co.com