Interns Encounter Wilmington Summer 2024

Interns Encounter Wilmington Summer 2024
PERSONAL INFORMATION

Name

First Name *

Last Name *

Preferred Name

Home Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Cell Phone: *

Email *

Gender: *

Preferred Pronouns: *

Race: *

Are you a Veteran of the United States military?

Yes No

Do you require any special accommodations or have food allergies or dietary restrictions of which we should be aware? Describe: *

Date of Birth *
Format: M/d/yyyy

Name/Location of College *

Degree/Major *

Anticipated Graduation Date *

Internship Employer *

Internship Industry *

Is your current internship employer aware of your interest in this program and in full support of your commitment to the experience? *

Yes No

Supervisor Approving Your Participation in Interns Encounter

First Name *

Last Name *

Their Position in The Company and email address *

Why did you choose an employer in Wilmington as your preferred choice of an internship experience? *

What are your responsibilities in your role as an intern? *

Why do you feel you would benefit from participating in Interns Encounter? *

List and describe any current and/or past leadership experience, awards/accolades, and/or accomplishments. *

List and describe any current and/or past community involvement that you feel is important to share. *

Upload Headshot *

Tuition

The cost of participation for Interns Encounter is $550. This amount covers all program costs including but not limited to meals, materials, venue fees, and networking events. Tuition must be paid you or your employer prior to the beginning of the program.

Please send tuition invoice to:

Intern Employer
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