Sign up today for EmpowerHer: Summer Paid Internship Program
First Name
Last Name
Date of Birth:
Email
Mobile
Street
City
State/Province
Zip
School Name:
Current Grade Level:–None–7th8th9th10th11th12thHSE/GEDElementary SchoolMiddle SchoolDiploma/HSE/GEDSome college, no degreeAssociates DegreeCollege/Bachelors DegreePost-grad
Lead- Borough:–None–BrooklynBronxManhattanStaten IslandQueensNot in one of the five Boroughs
Do you have working papers?:–None–YesNo
Are you eligible to work in the US?:–None–YesNo
Do you have a Social Security Number?:–None–YesNo
Parent/Guardian Full Name:
Parent/Guardian Phone Number:
Parent/Guardian Email:
Why are you interested in this summer program:
What career fields are you interested in?Not SureAdministrative AssistantAgriculture & FarmingArts, Entertainment & MediaAutomotiveBanking & FinanceBiotechnology & PharmaceuticalsBuilding TradesChild CareClericalConstruction & ArchitectureCustomer ServiceEducationEngineeringFashion & TextilesFood ServiceHealthcareHospitality & TourismLegal ServicesMaintenanceManagerial/ProfessionalMarketingMedia and CommunicationsOther ServiceReal EstateRetailSalesSecuritySelf-EmployedSocial WorkerTechnologyTelecommunicationsVeterinary Services
Have you participated in any other job training program? –None–YesNo
Which program/workforce training?:
Can you commit to the full 7-week program?:–None–YesNo
Are you able to commute to the sites?:–None–YesNoUnsure
Allergy/Med conditions we should know?: