Career Bound HS Internship Pre-Application Question Title * 1. Please enter your contact information. Name * School Grade * Address City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Country * Email Address * Phone Number * Question Title * 2. Please enter your date of birth. Date of Birth Date Question Title * 3. Please enter only the last 4 digits of your social security number. Question Title * 4. Do you have right to work documents? (valid social security card, work authorization, etc.) Yes No Question Title * 5. Please check off your home Club site. San Pedro Port Wilmington Harbor City Harbor-Gateway Other (please specify) Question Title * 6. Please check off all club programs you have been involved with. College Bound Career Bound Arts Academy STEM/ Robotics Keystone Leadership Youth of the Year/ Jr. Youth of the Year Club Sports League Torch Club Leadership LIT (Leaders in Training) Money Matters Smart Girls/ Passport to Manhood Other (please specify) Done