Career Awareness Internship Application - 2018 The Career Awareness Internship is a program for teens and young adults (age 16 – 24) who have the motivation, perseverance and resilience to acquire the necessary education and pursue a career. Acceptance into the Career Awareness Internship is competitive and requires completion of this application and an interview. Applications are due Thursday, June 21 at 5PM. Good luck! Question Title * 1. Name Question Title * 2. Contact Information Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Question Title * 3. Gender Question Title * 4. Race/Ethnicity Question Title * 5. Birthdate Question Title * 6. Who do you live with? Name: Relationship to you: Question Title * 7. Last Completed Year in High School 9th 10th 11th 12th Graduated Question Title * 8. Which High School do/did you attend? Question Title * 9. Last Completed Year in College Freshman Sophomore Junior Question Title * 10. Emergency Contact Name Phone Number Email Address Relationship to you Question Title * 11. How did you learn about this program? Question Title * 12. List 3 words your friends use to describe you 1. 2. 3. Question Title * 13. What are you passionate about? Question Title * 14. What are you good at? Question Title * 15. What are you proud of? Question Title * 16. On a scale of 1-4 are you: 1Never 2Once in a while 3Much of the time 4Always Adaptable Adaptable 1Never Adaptable 2Once in a while Adaptable 3Much of the time Adaptable 4Always Ambitious Ambitious 1Never Ambitious 2Once in a while Ambitious 3Much of the time Ambitious 4Always Friendly Friendly 1Never Friendly 2Once in a while Friendly 3Much of the time Friendly 4Always Funny Funny 1Never Funny 2Once in a while Funny 3Much of the time Funny 4Always Persistent Persistent 1Never Persistent 2Once in a while Persistent 3Much of the time Persistent 4Always Resilient Resilient 1Never Resilient 2Once in a while Resilient 3Much of the time Resilient 4Always Resourceful Resourceful 1Never Resourceful 2Once in a while Resourceful 3Much of the time Resourceful 4Always Respectful Respectful 1Never Respectful 2Once in a while Respectful 3Much of the time Respectful 4Always Self-Motivated Self-Motivated 1Never Self-Motivated 2Once in a while Self-Motivated 3Much of the time Self-Motivated 4Always Question Title * 17. List one of your personal goals. What are your plans to reach that goal? Question Title * 18. Describe a time in your life when you had to persevere. Describe the situation and what you did to keep going. Question Title * 19. What do you like to do for fun? Question Title * 20. What motivates you? How do you keep yourself motivated when life isn’t going the way you want it to? Question Title * 21. Describe a time when you were in a situation where you didn’t know what was expected of you. What did you do? How did you feel? Question Title * 22. List two careers that interest you potentially. Explain why they each interest you. Question Title * 23. Brag about yourself. Why should we accept you into the Career Awareness Internship? Question Title * 24. 3 Favorite Subjects in School? 1. 2. 3. Question Title * 25. 3 Least Favorite Subjects in School? 1. 2. 3. Question Title * 26. For you school is generally Easy Hard Easy and hard (depending on the class) Question Title * 27. Which type of internship do you prefer? A three week internship that pays up to a possible $300. A six week internship that pays up to a possible $1,099. If you have any questions, please email Pablo Rangel at pablorangel@companies-that-care.org or call 312-661-1010 Done