"Unpaid Internship Application Form" - Texas

Unpaid Internship Application Form is a legal document that was released by the Texas Department of Information Resources - a government authority operating within Texas.

Form Details:

  • Released on October 19, 2012;
  • The latest edition currently provided by the Texas Department of Information Resources;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Texas Department of Information Resources.

ADVERTISEMENT
ADVERTISEMENT

Download "Unpaid Internship Application Form" - Texas

627 times
Rate (4.3 / 5) 38 votes
Unpaid Internship Application
To be completed by the Intern and submitted to the Human Resources Office.
Texas Department of
Information Resources
APPLICANT INFORMATION
Last Name:
First Name:
Date:
Street Address:
Apt/Unit:
City:
State:
Zip:
Email:
Primary Phone:
Secondary Phone:
Fax:
Have you ever been convicted of a felony?
Yes
No If yes, please explain:
AVAILABILITY
Check semesters of availability:
Fall
Spring
Summer
Other:
Check your general daily availability :
Monday
Tuesday
Wednesday
Thursday
Friday
Morning (approx. 9am–1pm)
Afternoon (approx. 1pm –5pm)
AREAS OF INTEREST
EXPERIENCE, EDUCATION AND SKILLS
Current Employment Status:
Full Time
Part Time
Not Currently Employed
Current or Most Recent Paid Position:
Are you currently a full-time
If yes, indicate school and concentration:
student?
Yes
No
Student Level?
Freshman
Sophomore
Areas of Study:
Junior
Senior
Graduate Student
Do you speak languages other
If yes, indicate language(s) and level of fluency (fluent, semi-fluent, basic):
than English?
Yes
No
Computer Skills/Software Used:
TEXAS DEPARTMENT OF INFORMATION RESOURCES | UNPAID INTERNSHIP APPLICATION| 19-OCT-2012
PAGE 1 of 3
Unpaid Internship Application
To be completed by the Intern and submitted to the Human Resources Office.
Texas Department of
Information Resources
APPLICANT INFORMATION
Last Name:
First Name:
Date:
Street Address:
Apt/Unit:
City:
State:
Zip:
Email:
Primary Phone:
Secondary Phone:
Fax:
Have you ever been convicted of a felony?
Yes
No If yes, please explain:
AVAILABILITY
Check semesters of availability:
Fall
Spring
Summer
Other:
Check your general daily availability :
Monday
Tuesday
Wednesday
Thursday
Friday
Morning (approx. 9am–1pm)
Afternoon (approx. 1pm –5pm)
AREAS OF INTEREST
EXPERIENCE, EDUCATION AND SKILLS
Current Employment Status:
Full Time
Part Time
Not Currently Employed
Current or Most Recent Paid Position:
Are you currently a full-time
If yes, indicate school and concentration:
student?
Yes
No
Student Level?
Freshman
Sophomore
Areas of Study:
Junior
Senior
Graduate Student
Do you speak languages other
If yes, indicate language(s) and level of fluency (fluent, semi-fluent, basic):
than English?
Yes
No
Computer Skills/Software Used:
TEXAS DEPARTMENT OF INFORMATION RESOURCES | UNPAID INTERNSHIP APPLICATION| 19-OCT-2012
PAGE 1 of 3
EMPLOYMENT HISTORY
Position/Title:
Employer Name:
Tel:
Mailing Address:
City:
State:
Zip:
Supervisor Name:
Title:
Tel:
Supervisor Name:
Title:
Tel:
Check all that apply:
Full Time
Part Time (give average number hours worked weekly:
)
Summer
Temporary
Technical
Non-managerial
Supervisory/Managerial (give number of employees supervised:
)
Start Date:
End Date:
Final Salary:
Comments:
Position/Title:
Employer Name:
Tel:
Mailing Address:
City:
State:
Zip:
Supervisor Name:
Title:
Tel:
Supervisor Name:
Title:
Tel:
Check all that apply:
Full Time
Part Time (give average number hours worked weekly:
)
Summer
Temporary
Technical
Non-managerial
Supervisory/Managerial (give number of employees supervised:
)
Start Date:
End Date:
Final Salary:
Comments:
Position/Title:
Employer Name:
Tel:
Mailing Address:
City:
State:
Zip:
Supervisor Name:
Title:
Tel:
Supervisor Name:
Title:
Tel:
Check all that apply:
Full Time
Part Time (give average number hours worked weekly:
)
Summer
Temporary
Technical
Non-managerial
Supervisory/Managerial (give number of employees supervised:
)
Start Date:
End Date:
Final Salary:
Start Date:
End Date:
Final Salary:
Comments:
TEXAS DEPARTMENT OF INFORMATION RESOURCES | UNPAID INTERNSHIP APPLICATION | 19-OCT-2012
PAGE 2 of 3
PERSONAL INFORMATION
Why are you interested in an internship in our organization?
What specific experience would you like to gain through this internship?
Describe your long-term career goals.
PROFESSIONAL REFERENCES
Name
Relationship
Contact Information (email address and/or phone number)
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship
assignment, I understand that false or misleading information in my application may result in my release. I understand
that DIR will check with the Texas Department of Public Safety, the Federal Bureau of Investigation, or other
organizations for any criminal history in accordance with applicable statutes.
I authorize any of the persons or organizations referenced in this application to give you any and all information
concerning my previous employment, education, or any other information they might have, personal or otherwise, with
regard to any of the subjects covered by this application, and I release all such parties from all liability from any
damages which may result from furnishing such information to you.
Signature
Date
TEXAS DEPARTMENT OF INFORMATION RESOURCES | UNPAID INTERNSHIP APPLICATION | 19-OCT-2012
PAGE 3 of 3
Page of 3