Skip to content
Career Awareness Internship Application - 2019
The Career Awareness Internship is a program for Chicago youth (age 14 – 15) 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 Monday, June 3 at 5PM.
Good luck
!
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Contact Information
(Required.)
Address
*
Address 2
City/Town
*
ZIP/Postal Code
*
Email Address
Phone Number
*
*
4.
Gender
(Required.)
*
5.
Race/Ethnicity
(Required.)
African American/Black
Hispanic
Caucasian
Two or more races
Other (please specify)
*
6.
Birthdate
(Required.)
7.
Who do you live with?
Name:
Relationship to you:
*
8.
Last Completed Year in School
(Required.)
7th
8th
9th
*
9.
Which grade school do/did you attend?
(Required.)
10.
Which high school do/will you attend?
11.
Emergency Contact
Name
Phone Number
Email Address
Relationship to you
12.
How did you learn about this program?
13.
List 3 words your friends use to describe you
1.
2.
3.
14.
What are you passionate about?
15.
What are you good at?
16.
What are you proud of?
17.
On a scale of 1-4 are you:
1
Never
2
Once in a while
3
Much of the time
4
Always
Adaptable
1
Never
2
Once in a while
3
Much of the time
4
Always
Ambitious
1
Never
2
Once in a while
3
Much of the time
4
Always
Friendly
1
Never
2
Once in a while
3
Much of the time
4
Always
Funny
1
Never
2
Once in a while
3
Much of the time
4
Always
Persistent
1
Never
2
Once in a while
3
Much of the time
4
Always
Resilient
1
Never
2
Once in a while
3
Much of the time
4
Always
Resourceful
1
Never
2
Once in a while
3
Much of the time
4
Always
Respectful
1
Never
2
Once in a while
3
Much of the time
4
Always
Self-Motivated
1
Never
2
Once in a while
3
Much of the time
4
Always
18.
List one of your personal goals for the summer. What are your plans to reach that goal?
19.
Describe a time in your life when you had to persevere. Describe the situation and what you did to keep going.
20.
What do you like to do for fun?
21.
What motivates you? How do you keep yourself motivated when life isn’t going the way you want it to?
22.
List two careers that interest you potentially. Explain why they each interest you.
23.
Brag about yourself. Why should we accept you into the Career Awareness Internship?
24.
3 Favorite Subjects in School?
1.
2.
3.
25.
3 Least Favorite Subjects in School?
1.
2.
3.
26.
For you school is generally
Easy
Hard
Easy and hard (depending on the class)
27.
Do you have an IEP or 504 plan? (We WELCOME students with all types of learning styles! :))
Yes
No
28.
If yes, what is your learning disability?
29.
If yes, what kind of accommodations (or help) do you need in the classroom?
If you have any questions, please email Ama Appenteng at amaappenteng@companies-that-care.org or call 312-661-1010
