Please enter the details of Intern

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* 1. Please enter your full name (First Name and Last Name, Ex: John Smith)

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* 2. Your Email ID

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* 3. Your Gender

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* 4. Your Date of Birth (MM/DD/YYYY)

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* 5. What grade are you in? -  (If you are in 8th Grade and going to 9th next academic year, please select 9th Grade)

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* 6. Name of the Parent/Guardian

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* 7. Email ID of the Parent/Guardian

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* 8. Enter your top 5 Academic achievements including the Extracurricular Activities.

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* 9. Why do you want to be considered for this Internship Opportunity? Tell us in 5-6 sentences

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* 10. In what city and state do you live?

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