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Signature Services Application
For Summer Internship
(U.S.A. students only)
Please submit by:
March 1, 2006
Name:
Date:
Social Security No.
Email:
Street Address:
City:
State:
Zip:
School Telephone:
Home Phone:
Are you legally eligible for
employment in the U.S.A.?
YES
NO
If you are selected for the summer internship
program, on what dates will you be available for work?
Are there any experiences, skills,
or qualifications, which will be of
special benefit for the internship?
Name of School:
Course Advisor:
Advisor's Phone:
Advisor's Email:
Major:
Classification:
GPA:
Recommended Credit Hours:
List three references below:
Reference # 1
Briefly discuss why this internship program
will benefit you and your field of study:
Reference # 2
Reference # 3
The facts set forth in my application are complete and true. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing signed by an officer.
I Agree, (name of applicant):
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