North Metro Media Center
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Name Date
Address Phone
City/Zip Email
Can you provide your own transportation? Yes No
Are you available to work nights and weekends? Yes No
Are you available to work some day hours? Yes No
How many hours a week would you be available? 10 –15hrs 15-20hrs 20+hrs
Which department(s) would you like to internship with? News Sports Promotions
Education Community College University/College Vocation/Technical
School Name
Years Completed
Course of Study
Academic Advisor ______Phone Number ______
Are you currently enrolled at an institution for which you will receive internship credit? Yes No
In which area/areas do you hope to gain expertise as a result of an internship?
Camera Operation Sports Announcing
Editing Graphics Development
Directing Hosting
On-Camera Reporting Other
List Other Areas if applicable:
Please answer the following questions. Use additional paper if necessary.
1. Why do you want an internship at North Metro TV? 2. What do you hope to gain from the internship?
3. List and experience, skills or qualifications, which you believe, qualify you for an internship.
4. What are your career goals?
Signature of Applicant ______Date ______
Please attach cover letter, resume and references and mail to:
News Director North Metro TV, 12520 Polk St NE, Blaine, MN 55434 or
Email to: [email protected]