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Internship Application Form

This document is a foreign national student internship application form for the U.S. Consulate General in Mumbai, India. It requests personal information from the applicant, including contact details, citizenship, and dates of availability. It also asks for education history, language skills, computer skills, work experience, insurance information, and a statement of interest. Applicants must provide details of their current studies, previous education, scholarships, publications, employment history, and certify that all information is correct to the best of their knowledge.

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Utkarsh Vats
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
56 views

Internship Application Form

This document is a foreign national student internship application form for the U.S. Consulate General in Mumbai, India. It requests personal information from the applicant, including contact details, citizenship, and dates of availability. It also asks for education history, language skills, computer skills, work experience, insurance information, and a statement of interest. Applicants must provide details of their current studies, previous education, scholarships, publications, employment history, and certify that all information is correct to the best of their knowledge.

Uploaded by

Utkarsh Vats
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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U.S.

CONSULATE GENERAL, MUMBAI, INDIA


FOREIGN NATIONAL STUDENT NONPAID INTERNSHIP APPLICATION FORM
INSTRUCTIONS: Please answer fully and completely, type or print in ink. If more space is needed for an answer, use the space
provided on page 3. Please provide a statement of interest along with this application.

1. PERSONAL INFORMATION
LAST NAME FIRST MIDDLE

PRESENT ADDRESS

TELEPHONE NUMBER AND E-MAIL ADDRESS

YOUR CURRENT CITIZENSHIP OTHER OR PREVIOUS CITIZENSHIPS

2. INTERNSHIP AVAILABILITY - DATES PROPOSED FOR THE INTERNSHIP

START DATE (mm/dd/yy): END DATE (mm/dd/yy): DESIRED LENGHT IN MONTHS:

3. YOUR CURRENT STUDIES


NAME AND LOCATION OF EDUCATIONAL INSTITUTION ENROLLED SINCE MAJOR

4. PREVIOUS EDUCATION (please include high school and above studies)


DATES
NAME AND LOCATION OF EDUCATIONAL INSTITUTION DEGREE MAJOR SUBJECTS
FROM TO
5. ADDITIONAL EDUCATION INFORMATION
SCHOLARSHIPS OR ACADEMIC DISTINCTIONS PUBLICATIONS

6. LANGUAGES (name and indicate the extend of your competence)


SPEAK / UNDERSTAND READ / WRITE

LANGUAGE FAIR GOOD EXCELLENT FAIR GOOD EXCELLENT

ENGLISH

HINDI

OTHER LANGUAGE (Specify language)

7. COMPUTER SKILLS (list programs that you are familiar with)


LITERACY

PROGRAM BASIC INTER-MEDIATE ADVANCED

WORD PROCESSING

SPREADSHEETS

PRESENTATION/DESKTOP PUBLISHER

INTERNET/EMAIL COMMUNICATION

OTHER SOFTWARE, PROGRAMMING,

DATABES (underline needed)

8. EMPLOYMENT (begin with your last or current job, including internships, summer jobs)
DATES OF EMPLOYMENT (month/year, from-to) EXACT TITLE OF YOUR POSITION

NAME AND FULL ADDRESS OF EMPLOYER DUTIES

NAME OF THE IMMEDIATE SUPERVISOR


DATES OF EMPLOYMENT (month/year, from-to) EXACT TITLE OF YOUR POSITION

NAME AND FULL ADDRESS OF EMPLOYER DUTIES

NAME OF THE IMMEDIATE SUPERVISOR

DATES OF EMPLOYMENT (month/year, from-to) EXACT TITLE OF YOUR POSITION

NAME AND FULL ADDRESS OF EMPLOYER DUTIES

NAME OF THE IMMEDIATE SUPERVISOR

9. INSURANCE
I HEREBY CONFIRM I HOLD A HEALTH INSURANCE POLICY (YES/NO)

NAME OF SOCIAL INSURANCE OR COMPANY NAME

POLICY NUMBER

10. SPACE FOR DETAILED ANSWERS


USE THIS SPACE FOR DETAILED ANSWERS. NUMBER YOUR ANSWERS TO CORRESPOND WITH QUESTIONS. ADD
ANY INFORMATION, WHICH WAS NOT COVERED ABOVE AND MAY BE USEFUL TO YOUR APPLICATION. USE
ADDITIONAL PAGES IF NECESSARY.

CERTIFICATION
I HEREWITH CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND BELIEF.
SIGNATURE DATE

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