ࡱ> LOKe MbjbjϺ ..إf\إf\:  8$<=0tBBBB~YYY///////$1g4/YY/B~/:$:$:$RB~/:$/:$:$r<.T/B<-zHv./ 00=0.z484/4/YhJ:$ <GYYY//!DYYY=04YYYYYYYYY > \: OFFICE OF THE GOVERNOR STATE OF NEW JERSEY INTERNSHIP APPLICATION Date: __________________ First Name: _________________________________ Middle Initial: _______ Last Name: _________________________________ Email: _____________________________________ Applying for internship during (please circle): Fall Spring Summer Current Address: Street: ____________________________________ City: ___________________ State: _________________ Zip Code: _________ County:___________________ Phone Number:_________________ Cell Phone Number: _________________ Permanent Address (if different) Street: ____________________________________ City: ___________________ State: _________________ Zip Code: _________ County: ___________________ Phone Number: _________________ Cell Phone Number: _________________ College/University currently enrolled in: _______________________________________________________________________ Expected status at beginning of internship (please circle): Freshman Sophomore Junior Senior Graduate Major: ____________________________ Minor: _______________________ GPA: _________ Expected year of Graduation: ___________ Do you plan on receiving credit for your internship? Yes No Date Available: __________________________________________________________ Please list departments in which you would be interested in doing an internship: 1.____________________ 2.____________________ 3.______________________ Please list relevant college courses: (List 1 at a minimum) 1.____________________ 2.____________________ 3.______________________ Please select the following skills which you possess: (Select all that apply and 1 at a minimum) ___ Computer (List specific hardware/software__________________________________________ ___Writing ___Research ___Accounting ___Finance ___ Statistics ___Engineering (Civil, Electrical, Transportation) Other (Please describe)________________________________________________  The following is OPTIONAL. This information is used for statistical purposes only. Sex (please check one): __ Male __ Female __Decline optional information Ethnic Categories: (please check one) ___ American Indian or Alaskan Native: Persons having origins in any of the original people of North America, and who maintain cultural identification through tribal affiliation or community recognition. ___ Asian or Pacific Islander: Persons having origins in any of the original people of the Far East, Southeast Asia, the Indian Sub-continent, or the Pacific Islands. This area includes Pakistan, Korea, Vietnam, the Philippine Islands, and Samoa. ___ Black, not of Hispanic Origin: Persons having origins in any of the black racial groups of Africa.___ Hispanic: Persons of Mexican, Puerto Rican, Cuban, Central or South American or Spanish culture or origin regardless of race. ___White, not of Hispanic Origin: Persons having origins in any of the original people of Europe, North Africa, or the Middle East. ___ Other: Persons that do not apply to any of the above ethnic descriptions.___Decline optional information:  __________________________________ ____________________________________ Date Signature With this completed application, please include a copy of your resume and a short writing sample. The writing sample can be on any subject. (If you do not complete all of this application and application requirements, you will not be considered for an internship.) Send all to the following address: Governors Office of Administration and Personnel Attention: Quincy Charleston P.O. Box 001 Trenton, N.J. 08625 If you have any questions, call Quincy Charleston at (609) 777-2228     NEW JERSEY IS AN EQUAL OPPORTUNITY EMPLOYER ,3BCDEFIJK^il  , < c d u v } ~ 4 5 J ] ^ `  - @ d e ˼ټٴ٤˼٠˼٤˼˼h(hK,]h =5h<hK,]5h<hTM5he hK,]heh< hK,]hTM hK,]hf2T hK,]h =h<h0HCJaJh<h =CJaJhK,]h =5\?+,CDE^ d u v   _ `  f gd(gdTM$a$$a$gd<e g  E F BCDYZ[89:賷unfh<h =5 hK,]hK,]hK,]hK,]5\h<h<CJaJh<hCJaJh$)CJaJh<h5CJ\aJ hK,]hh =hh<h(\h(h(\ h(h =he hK,]h =h+[ hK,]hTM h(h( h<5h<h(5h($   s t 5 6 Z[78$IfgdgdTMgd(89:<  !$Ifgdh $IfgdK,] ! $If^` gdh !gdK,]Akd$$If!B t634Ba ;IQSTNOTZ$%*+3ǽǽǬǽǽǞǽǚǽǽǖh: h5\h<hS hLhhh<5\ hK,]hLhhh$)5\hhhK,]5\ hK,]hK,]hS h =5hS hK,]5 hh hK,]h = hK,]hhh<hK,]56EPITkd$$Ifl0"L t:#644 layth  !$IfgdhTkd[$$Ifl0"L t:#644 laythITkdK$$Ifl0"L t:#644 layth  !$IfgdhTkd$$Ifl0"L t:#644 layth%+67Z[JK$a$$a$gdgd !KLMh<h djh dUhK,]h =5\h KLMgd,1h/ =!"#$% Y$$If!vh#v!:V t6,534 BN$$If!vh#vL#v:V l t:#65L5ythN$$If!vh#vL#v:V l t:#65L5ythN$$If!vh#vL#v:V l t:#65L5ythN$$If!vh#vL#v:V l t:#65L5yths2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH ::  Heading 1$@&5\>@>  Heading 2$$@&a$CJ DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 6>6 Title$a$ 5CJ \<J< Subtitle$a$ 5CJ\4@4 Header  !4 @"4 Footer  !6U16 ,B Hyperlink >*B*phjCj K,] Table Grid7:V0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. 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