Internship Application

Date of Application:
First Name:
Last Name:
Age (if younger than 18):
Street Address:
City:
State:
Zip Code:
Phone:
Cell:
Email:

Education

Are you currently a student? Yes     No
Please check the last High School year completed: Freshman
Sophomore
Junior
Senior
Please check the last College year completed: Freshman
Sophomore
Junior
Senior
Masters
PhD
Schools attended, degrees received, dates:
Major/Minor:

Employment

Are you currently employed? Yes     No (if no, please list the last position held, if any)
Job Title/Occupation:
Employer:
Dates of Employment:
Briefly describe the nature of your work
and responsibilities:
Have you ever been employed by
Carnegie Museums of Pittsburgh?		 Yes     No
If yes, please list dates, department, and supervisor:

References

List two professional, educational, or character references (non-family members)

Reference 1

Name:
Relationship:
Phone:

Reference 2

Name:
Relationship:
Phone:

Interest

Area in which you would like to work:
Availability: Please check your
available days and times:

Note: Weekend opportunities are very limited

 Sun     Mon     Tues     Wed     Thurs     Fri     Sat
Morning     Afternoon

Academic Information

List extra-curricular activities that you are/were
involved in during your time as a student:
Overall Grade Ponit Average:
Will you be recieving university credit for an internship? Yes     No
If receiving credit, describe your school's
requirements (hours, supervision, evaluation, etc.)

Internship Experience

Please provide a brief description of past
internship positions you have held and dates:
List courses taken previously that are applicable
to the kind of internship you are seeking:
List any special skills and experience that you bring
to an internship:

Short Answer

Briefly discuss why you are seeking an internship
at the Carnegie Museums of Pittsburgh and how
it relates to your academic interests or professional
development and goals:

Emergency Contact

Name:
Phone:
Relationship:

Security Clearances

Do you have a security clearance such as Act 33/34?: Yes     No  
Year clearance was completed:
name of clearance:

Release

I understand that as a volunteer I am not entitled to monetary compensation for the work that I perform and I am not entitled to worker's compensation or group benefits in the event of injury. The Carnegie Museums of Pittsburgh Volunteer Program reserves the right to an evaluation sometime after placement and the right to terminate services should responsibilities not be fulfilled satisfactorily.

I understand and agree that a criminal background check, at my expense, is a condition of my volunteer service. Fee for teen volunteers under 18 years of age will be paid by the museum.

Type full name:
Date: