Form 95-235 "Internship Application" - Texas

What Is Form 95-235?

This is a legal form that was released by the Texas Comptroller of Public Accounts - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Texas Comptroller of Public Accounts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 95-235 by clicking the link below or browse more documents and templates provided by the Texas Comptroller of Public Accounts.

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Download Form 95-235 "Internship Application" - Texas

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Glenn Hegar
Internship Application
Texas
Comptroller of
Public Accounts
SECTION I
Personal Information
All applicants must provide a current resume and three scholastic and/or professional references with this application. Applicants
must be currently enrolled in a college/university. Incomplete applications will not be considered.
(Please Print or Type)
Name:
_________________________________________ _______________________________ ________________
Last
First
Middle
E-mail Address:
____________________________________________________________________________________________
Current
Address: _________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Area code and number
Do you have any relatives who work for the Comptroller of Public Accounts?
Yes
No
If yes, list name(s) and relationship(s):
____________________________________________________________________________
S
SECTION II
Education
High Schools/
Dates Attended
Hours
Graduated
Major, Minor
Colleges/Universities
Completed
yes/no
and Degree
From
To
Name and Location
Are you at least 16 years of age?
Yes
No
Are you currently a:
Full-time Student or
Part-time Student?
Are you able to regularly work a:
• Full-time, 40 hour weekly schedule, Monday through Friday?
Yes
No
• Part-time, 10 – 39 hour weekly schedule, Monday through Friday?
Yes
No
SECTION III
Intern Credit Information
Is this Internship for credit?
Yes
No
If yes:
College University Name:
______________________________________________________________________________________
Semester:
Fall
Spring
Summer
Name of Advisors:
__________________________________________
Advisor's Phone Number:
__________________________
Area code and number
Total number of hours you are required to complete FOR CREDIT:
_____________________________________________________
Minimum number of hours per week you are required to work FOR CREDIT:
_____________________________________________
Placement deadline:
_________________________________________________________________________________________________________________
95-235 (03-15)
Glenn Hegar
Internship Application
Texas
Comptroller of
Public Accounts
SECTION I
Personal Information
All applicants must provide a current resume and three scholastic and/or professional references with this application. Applicants
must be currently enrolled in a college/university. Incomplete applications will not be considered.
(Please Print or Type)
Name:
_________________________________________ _______________________________ ________________
Last
First
Middle
E-mail Address:
____________________________________________________________________________________________
Current
Address: _________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Area code and number
Do you have any relatives who work for the Comptroller of Public Accounts?
Yes
No
If yes, list name(s) and relationship(s):
____________________________________________________________________________
S
SECTION II
Education
High Schools/
Dates Attended
Hours
Graduated
Major, Minor
Colleges/Universities
Completed
yes/no
and Degree
From
To
Name and Location
Are you at least 16 years of age?
Yes
No
Are you currently a:
Full-time Student or
Part-time Student?
Are you able to regularly work a:
• Full-time, 40 hour weekly schedule, Monday through Friday?
Yes
No
• Part-time, 10 – 39 hour weekly schedule, Monday through Friday?
Yes
No
SECTION III
Intern Credit Information
Is this Internship for credit?
Yes
No
If yes:
College University Name:
______________________________________________________________________________________
Semester:
Fall
Spring
Summer
Name of Advisors:
__________________________________________
Advisor's Phone Number:
__________________________
Area code and number
Total number of hours you are required to complete FOR CREDIT:
_____________________________________________________
Minimum number of hours per week you are required to work FOR CREDIT:
_____________________________________________
Placement deadline:
_________________________________________________________________________________________________________________
95-235 (03-15)
Glenn Hegar
Internship Application
Texas
(page 2)
Comptroller of
Public Accounts
SECTION IV
Proposed Work Schedule
Date available to begin work:
___________________________________________________________________________________
Days and Hours available to work on a regular basis:
Monday
Tuesday
Wednesday
Thursday
Friday
Hours: (M)
_______________
(T)
________________
(W)
________________
(TH)
_______________
(F)
________________
S
SECTION V
Classification
Undergraduate Status:
Freshman
Sophomore
Junior
Senior
Graduate Status:
1st Year
2nd Year
Other
___________________________________________
Major:
______________________________________________________________
GPA:
__________________________________
SECTION VI
Skills and Abilities
Check the appropriate areas and explain your experience in each category.
COMPUTER KNOWLEDGE:
Microsoft Word
_______________________________________________________________________________
Microsoft Excel
_______________________________________________________________________________
PowerPoint
_______________________________________________________________________________
Internet Research
_______________________________________________________________________________
E-mail
_______________________________________________________________________________
OTHER KNOWLEDGE:
Research
_______________________________________________________________________________
Public Speaking
_______________________________________________________________________________
Other
_______________________________________________________________________________
SECTION VII
Experience and Outside Activities
List any prior experience you may have that may be applicable to the internship at the Comptroller’s office.
Glenn Hegar
Internship Application
Texas
(page 3)
Comptroller of
Public Accounts
SECTION VII
Experience and Outside Activities (Cont.)
Explain your motivation in applying for this particular internship and tell us what you would like to learn as a result of your
participation in this program.
List your scholastic involvement and personal achievements.
SECTION VIII
References and Contacts
REFERENCES:
List three scholastic and/or professional references. Include name, address, telephone number and relationship to you.
(Professors, Counselors, etc.)
Name:
_________________________________________ _________________________________________________
Last
First
Address:
_________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Relationship:
______________________________________
Area code and number
Name:
_________________________________________ _________________________________________________
Last
First
Address:
_________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Relationship:
______________________________________
Area code and number
Name:
_________________________________________ _________________________________________________
Last
First
Address:
_________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Relationship:
______________________________________
Area code and number
EMERGENCY CONTACT:
In case of an emergency, whom should we contact?
Name:
_________________________________________ _________________________________________________
Last
First
Address:
_________________________________________ _________________________ __________ __________
Street
City
State
ZIP code
Phone Number:
_________________________________________
Relationship:
______________________________________
Area code and number
SECTION IX
Program Preference
Please list, in order of preference, the name of a program area in which you might be most interested in being placed as an Intern.
Please note that this is merely a preference and that final placement decisions will be based on divisional workloads and agency
staffing priorities.
1.
______________________________________________________
2.
________________________________________________
3.
______________________________________________________
4.
________________________________________________
Glenn Hegar
Internship Application
Texas
(page 4)
Comptroller of
Public Accounts
SECTION X
Agreement
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING, AND
ACCEPTANCE, BY SIGNING IN THE SPACE PROVIDED.
1. I understand that I am applying for an unpaid internship.
2. I hereby certify that the statements on this application, as well as those
on any attachment(s) to this form, are to the best of my knowledge true
and correct and that they are all given of my own free will. I agree that any
misstatement(s) or omission(s) as to material facts will constitute grounds for
unfavorable consideration or termination of my unpaid internship.
3. I authorize all of the former and/or current employers, schools, officials, and
persons named as references on this application to communicate with the
Comptroller’s office about my character and performance and hereby release
each of them from any liability arising from their reference.
4. I understand that the Comptroller of Public Accounts may check with the Texas
Department of Public Safety and/or the Federal Bureau of Investigations for
any criminal history in accordance with applicable statutes.
Applicant’s Signature:
__________________________________________
Date:
_______________________
E-mail your completed application to matt.martinez@cpa.state.tx.us.
You can also fax or mail completed applications to:
Comptroller of Public Accounts
Attn: Human Resources, Internship Coordinator
111 E. 17th Street, LBJ Building
Austin, Texas 78774
Fax: 512-475-4804
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