Internships

INTERNSHIP APPLICATION FORM

* denotes a required field

First Name*:


Last Name*:


Email*:


Phone number*:

Mailing Address

Street*:


City*:


State*:


School*:


Major (if applicable):


Minor (if applicable):


How did you hear about this program?
TeacherSchool Career ResourcesS2S StaffS2S CommunicationsSocial MediaOther

Have you previously participated in an S2S program?
YesNo

If yes, please indicate which program:


Which of the following STEM fields are you most interested in? * (Select all that apply)
Allied HealthcareBiotech & PharmaceuticalsChemistryEarth and Space ScienceEngineeringEnvironmental SciencesLife SciencesPhysicsOther

Which internship program areas are you most interested in?* (Select all that apply)
Program DevelopmentProgram ImplementationMarketing and Communications
Briefly explain why you are interested in an S2S internship*:


Briefly explain your areas of strength and any applicable experience*:

Emergency Contact

First Name*:


Last Name*:


Email*:


Phone number*:


Relationship*:

Parent/Guardian Contact 1

First Name*:


Last Name*:


Email*:


Phone number*:


Relationship*:

Parent/Guardian Contact 2

First Name*:


Last Name*:


Email*:


Phone number*:


Relationship*:

Email Opt-In:

*I confirm that by submitting this application, I approve of my email being added to any communications about S2S program notifications, updates, and future opportunities.

Questions? Email us at [email protected]