Internship Application Form Interested students should submit the following application. Note: Items marked with the red dot are required to be answered. Program Reference As in the program announcement. First Name Last Name College or Institution CUNYfirst ID Social Security Number Please enter the last 4 digits of your social security number Address 1 Street Address Address 2 Apartment number, unit, or suite City State ZIP Code Telephone Email Address Citizenship Status What is your current citizenship status? US CitizenUS Permanent ResidentOther Other If you answered "other", please explain. Please Check the Appropriate Category Optional American Indian or Native AlaskanAsian or Pacific IslanderBlack, Non-HispanicHispanic, OtherWhite, Non-Hispanic Current Major Current GPA Total Degree Credits Completed What type of internship program would you like to participate such as, office work, research, field studies, etc. [Not to exceed 500 characters, including spaces.] Describe your career objectives [Not to exceed 200 characters, including spaces.] Upload Your Resume 2 pages maximum. Please upload either .doc or .pdf file. Reference 1 Please provide the name, relationship, and contact information (email address and telephone number) for 2 references (e.g., professors, community leaders, or work supervisors). Reference 2