Medical University of South Carolina
Harper Student Center

ONLINE-Application for Internship Position

Name   

Current Address

Current City

Current State

Current Zip

Current Phone

Current E-Mail

Permanent Address

Permanent City

Permanent State

Permanent Zip

Permanent Phone

Degree Completing

Graduation Date

College or University

School Supervisor

Phone

Mailing Address

Major Field of Study

Overall GPA

Minor or Related Field

Year in School

Dates Available for Internship

I have a strong interest in the following area (s) :

Facility Management Strength Training

Senior Exercise Programs Exercise Research

Fitness Testing Program Development

Aerobic Instructor Group Exercise Classes

Other (please indicate)

Experience

What job, if any, are you holding now?

What jobs, if any, have you held in the past that would relate to your internship placement?
Please explain any experience you have in fitness testing.

Other

Please list any certifications you currently hold.

List any other interests, hobbies and/or extracurricular activities that may help in the evaluation of your application.

What are your expectations for this internship?

What career goals do you have after your internship?