Intern/Employee Interest Form

This intern/employee interest form will be kept on file for at least one (1) year from the date submitted. If a job or internship opening occurs for a position for which you have indicated interest, you will be notified.

What types of positions would you be interested in? (select all that apply)
- Intern
- Programmer
- Administrative
- SEO
- Web Design
- Other (please indicate below)
Other (please indicate below)
Skills: (select all that apply)
- Word
- Excel
- Power Point
- Programming
- Web Design
- Business Writing/Blogging (Press Releases, Ad Copy, etc.)
- Graphic Design
- A serious interest in digital marketing or web design
Type of work desired: (select all that apply)
- Academic Internship
- Paid Internship
- Full-time Job
- Part-time Job
Internship Availability: (select all that apply)
- Summer 2024
- Fall 2024
- Spring 2025
- Other
Which open house can you attend?
- Thursday, March 21st 5pm-7pm
- Thursday, March 28th 5pm-7pm
- I cannot make any of these dates
- Contact me for future open houses
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Permanent Email Address
Year of Graduation
Major
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Comments
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Equal Employment Opportunity Our company is committed to equal employment opportunity. We will not discriminate against staff members or applicants for employment on any legally-recognized basis [“protected class”] including, but not limited to: veteran status, uniform service member status, or any other protected class under federal, state, or local law. In New York, the following are a protected class: age [18 and over], race, creed, color, national origin, sexual orientation, sex, disability (including use of a guide dog, hearing dog, or service dog), predisposing genetic characteristics, military status, marital status, victims of domestic violence of stalking, for displaying the American flag on the staff member’s person or work station, as long as the display does not substantially and materially interfere with the staff member’s job duties, legal use of consumable products or legal recreational activities off company premises during nonworking hours, and previous conviction of criminal offenses, unless directly related to employment or would involve an unreasonable risk to property, or to the safety or welfare of specific individuals, or the general public. You may discuss equal employment opportunity related questions with the president or any other designated member of management.