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