Interest Request

First Name:

Last Name:

Are you a:

Student

Alumni

If a student, please provide your UA-PTC Student ID:

UA-PTC Student E-mail:

For Alumni, Personal E-mail:

Phone:

Year in School:

1st

2nd

Other...

Program of Study/Concentration:

Degree/Certificate:

CP

TC

AA

AS

AAS

Program or Academic Advisor:

I am looking for leads in:

Which semester are you looking for an internship?

Please list your Top 3 Industry preferences:

Example: finance, cybersecurity, digital marketing, etc.

Number of hours available to work per week:

Do you have reliable transportation?

Yes

No

Are you seeking college credit for this internship?

Yes

No

While we prefer students to be paid for their time and labor, we understand that some opportunities and industries are unpaid. Are you open to unpaid internships?

Yes

No

What Languages are you proficient in?

Are you allowed the legally work in the U.S.?

Yes

No

Is there anything else we need to know prior to placing you in an internship?