TEL: (646) 312-2070

FAX: (646) 312-2071

weissman.internships@baruch.cuny.edu

INTERNSHIP PLACEMENT OFFICE: STUDENT APPLICATION FORM INTERNSHIP PLACEMENT PROGRAM

Please sign up for an interview with an Internship Coordinator. Please bring this application form together with
two copies of your rsum, a copy of your Baruch I.D. and work authorization, if applicable, to: Internship Office,
Weissman Center for International Business at 137 East 25th St., 8th Floor at the time of your appointment. Please
update information each semester.
Please type or print clearly.

Date:_________________________
Mr.
Ms.
Mrs.

Cell/Work Tel.:(___)_______________________
Home Tel.:(___)__________________________

Last Name:________________________________

Nationality:______________________________

First Name:________________________________

Citizenship: U.S.

Address:__________________________________

International Student Visa (type):______________

City:_________________State:_____Zip:_________

Work Permit:

Permanent Resident
Yes No

E-mail:_____________________________________ Work Permit Expected by:___________________

Please check the semesters you are available and what type of internship you are interested in:
(Check all that apply.)

Summer Semester
Fall Semester
Spring Semester

Paid or Unpaid
Only Paid
Only Unpaid

Credit (first semester eligible for credit:_______________)

Non-Credit
Full-Time (20-40) ( Summer only All semesters)
Part-Time (8-20)

What industry/field are you interested in? (Check all that apply.)

Accounting
E-Commerce
Hospitality
Banking
Entertainment
Human Resources
CIS
Fashion
Import/Export
Communications Finance
International Business
Consulting
Government Agencies Journalism/Writing
Economics
Health
Law
Other_____________________________

Management Public Relations

Marketing
Real Estate
Music
Sports
Non-Profit
Project/Event Planning
Public Administration

What kind of work would you be most interested in doing? (Please include names of companies, specific
departments, or particular jobs/fields.) ____________________________________________________________

________________________________________________________________________________________

BARUCH COLLEGE EDUCATION

Academic Level:

Freshman Sophomore Junior Senior

MBA
MA
MS MPA

Baruch Entry Date (month/year):___________

Status:

Part-Time Full-Time

Exchange (Semester(s):_____________)

Expected Graduation Date: (month/year):_________________

Majors:____________________________/_____________________________
Minors:_____________________/_______________________ Overall GPA:_______ Major GPA:________
Did you transfer to Baruch? (If so, indicate college and year)_____________________________________________
List any prior internships:________________________________________________________________________

_____________________________________________________________________________________________
Complete sections on back page.

INTERNSHIP ABROAD INFORMATION

Are you interested in an internship abroad?

YES

NO

Should an internship become available, in which of the following regions would you be most interested?
(Check all that apply.)

North Africa
South Africa
Australia

North America
South America
Central America

Middle East
Caribbean
Asia

Western Europe
Eastern Europe

South East Asia

Pacific Rim

If you would like to be more specific, please identify all countries that are of interest to you:

Have you ever completed a Study Abroad Program?

Would you like to participate in a Study Abroad Program?
Have you ever participated in the Global Student Certificate Program?

YES (Country)________________ NO
YES NO
YES NO

.
List courses in your major that you have taken or are currently taking and the grades received. Please list any .
international business courses first.
.
COURSE NO.
COURSE TITLE
SEMESTER TAKEN
GRADE
.
.

.
List courses in your minor or core courses that you have taken and the grades you received.
COURSE NO.

COURSE TITLE

SEMESTER TAKEN

LANGUAGES:

READING ABILITY

WRITING ABILITY

SPEAKING ABILITY

Excellent Good Fair

Excellent Good Fair
Excellent Good Fair
Excellent Good Fair

Excellent Good Fair

Excellent Good Fair
Excellent Good Fair
Excellent Good Fair

Excellent Good Fair

Excellent Good Fair
Excellent Good Fair
Excellent Good Fair

COMPUTER SKILLS:
CAREER GOALS:

Why are you interested in an internship?

INTERNS SELECTED WILL BE EXPECTED TO COMPLETE A BRIEF ONLINE SURVEY AT THE END OF THE INTERNSHIP THAT
WILL RELATE THEIR EXPERIENCE AND ASSESSMENT OF THEIR INTERNSHIP AT THE COMPANY TO THE INTERNSHIP
PLACEMENT PROGRAM.

Print Name

Signature

Date
Version: 8/13