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?
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