Application for Internship

Personal Information
To be considered for an internship submitting this application is the first step. Outstanding candidates will move on for a virtual interview to continue the selection process. We appreciate everybody who applies, but please understand this is a very competitive process and we have very limited internship slots available.
Name*
First Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Referred By
Internship Desired
Internship Interest
- Sprints Coaching
- Performance Therapy
- Strength & Conditioning
- Sport Science
Internship Term Desired (choose one)
- Term I - October through December 2022
- Term II - January through March 2023
- Term III - April through June 2023
Will you be employed during your internship?
- Yes
- No
Do you have financial support during your internship?
- Yes
- No
Have you ever applied for an internship with ALTIS?
- Yes
- No
Education History
Grammar School
Name & Location of School Years Attended Did you graduate? Subjects Studied
High School
Name & Location of School Years Attended Did you graduate? Subjects Studied
College
Name & Location of School Years Attended Did you graduate? Subjects Studied
Sport Science Education (if applicable)
Name & Location of School Years Attended Did you graduate? Subjects Studied
Trade, Business, or Correspondence School
Name & Location of School Years Attended Did you graduate? Subjects Studied
General Information
Subject of academic studies
In your words, what makes you an outstanding candidate for an internship position?*
How will this internship benefit you?*
Is this internship a requirement for your coursework?
U.S. Military or Naval Service
Rank
Former Employers
Former Employers
List below last four employers, starting with last one first.
From (month/year) To (month/year) Name of Employer Address Position Reason for Leaving
References
Give below the names of three applicable/pertinent persons not related to you, whom you have known at least one year.
Name Address Business Years Known
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for internship for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

I ALSO UNDERSTAND THIS IS AN UNPAID POSITION AND GUARANTEES NO COMMITMENT TO A POSITION AT THE CONCLUSION OF THIS INTERNSHIP
Date
MM slash DD slash YYYY
Name
Resume
Max. file size: 10 MB.
Please submit your CV with this application.
Phone
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Application for Internship

Personal Information

Internship Desired

Education History

General Information

Former Employers

Authorization

Company

Education

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From (month/year)	To (month/year)	Name of Employer	Address	Position	Reason for Leaving

Name	Address	Business	Years Known