Application Packet

Internship Program Clarksburg High School

Sarah Costlow Internship Coordinator [email protected] 301.444.3557 (ofc.) 301.444.3000 (school) 301.4443595 (fax)

Clarksburg High School

Internship Application Table of Contents

Name of Document Internship Application Letter-Student

page 2

Internship Parent Permission

page 3

Internship Student Requirements

page 4

Internship Application

pages 5 - 6

Resume Sample

page 7

Internship Counselor Form

page 8

Faculty Recommendation Form

page 9

Faculty Recommendation Form

page 10

Application packet checklist

page 11

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Clarksburg High School 22500 Wims Road

Clarksburg, MD 28071

Phone: 301- 444.3000

Fax: 301 444.3595

2012 – 2013 School year Dear Future Internship Student, Thank you for your interest in the Internship Program. Internship is a program for high school seniors that requires a semester or full year long commitment and allows students to explore their career interests, gain valuable work experience, and earn credit toward their high school diploma. Rather than taking academic classes during periods 5, 6, and 7, students in the Internship Program participate in a paid or unpaid internship where they become actively involved in business, government, industry, research, or social services. Students also participate in bi weekly seminars where they explore career and workplace issues. In order to participate in the Internship Program, students must meet the following requirements: -

Students must complete the preliminary application process by February 24, 2012. Student must attend one Student Information Meeting: TBA (spring) Students must work independently and with the internship coordinator to have an internship placement by July 30th. Students must have no financial obligations. Students must have their own transportation. Students submit a time sheet signed by their sponsor (person mentoring or overseeing their work experience) and keep a log of hours. Students must submit a weekly written reflection. Students must submit their own resume. Students must attend a bi weekly seminar at school Students must complete 75 recorded hours for each desired ½ credit.

To begin the application process, students need to complete the attached internship application packet and return them to Ms Costlow, Room 213, by February 20th, 2012. Students must have two teachers complete the recommendation forms found in the packet and one counselor recommendation and request that they return the form to Ms. Costlow’s main office mailbox. Sincerely,

Sarah Costlow Internship Coordinator 301-444.3557 [email protected] Page | 2

Clarksburg High School

Internship Parent Permission Letter

Dear Ms. Costlow,

I give my child, ______________________________________________________________ Print Name permission to submit an application to be reviewed for the internship program. I have reviewed the internship information packet with my child and understand what is expected of them if they decide to pursue the program. I understand it is my responsibility to take an active role in helping my child to locate an internship site when possible, and to reinforce the need for good work habits and attendance. I can also assure that my child has transportation to and from the internship site.

_______________________________________________________ Parent Signature

_______________ Date

______________________________________________________ Student Signature

_______________ Date

This document is available in an alternate format, upon request, under the Americans with Disabilities Act, by contacting the Public Information Office, at 850 Hungerford Drive, Room 112, Rockville, MD 20850, or by phone at 301-279-3391 or via the Maryland Relay at 1-800-735-2258. Individuals who need sign language interpretation or cued speech transliteration in communicating with Montgomery County Public Schools (MCPS) may contact Interpreting Services in the Deaf and Hard of Hearing Program at 301-517-5539. MCPS prohibits illegal discrimination on the basis of race, color, gender, religion, ancestry, national origin, marital status, socioeconomic status, age, disability, physical characteristics, or sexual orientation. Inquiries or complaints regarding discrimination or Title IX issues such as gender equity and sexual harassment should be directed to the Office of the Deputy Superintendent of Schools at 301-279-3126, via the Maryland Relay at 1-800-735-2258, or addressed to that office at 850 Hungerford Drive, Room 129, Rockville, MD 20850.

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Clarksburg High School

Internship Student Requirements The Internship Program at Clarksburg High School offers an opportunity for students to pursue a career path, to gain first-hand work experience, and to determine a career interest before graduation. Interns work in a mentored, paid or non-paid position and attend regularly scheduled seminars. The internship can be inclusive of a job placement the student already has. The intern chooses the career area of their interest and works with the Internship Coordinator to find the most appropriate job site. Requirements: 1. Must attend and participate in a weekly seminar on Mondays. Usually 5th or 6th period. 2. Submit a weekly reflection on Mondays via email or on paper. 3. Keep a time log. 4. Maintain a 3.0 or above grade average. 5. Complete a student Obligation of Participants form given out at the first seminar 6. Must complete 75 recorded work hours for each .5 course credit a. 3 internship periods = 225 hours per semester in order to pass b. 2 internship periods = 150 hours per semester in order to pass c. 1 internship periods = 75 hours per semester in order to pass 7. Must arrange own transportation. MCPS does not provide transportation. 8. Students must sign out in the attendance office and leave school within 5 minutes after their last period. 9. Must complete a presentation on their internship at the end of each semester. 10. Cannot have financial obligation to any MCPS school. 11. Arrive at their internship every scheduled day. 12. Exhibit a professional work ethic.

Sarah Costlow, Internship Coordinator, Clarksburg High School 301-444.3557 [email protected]

Clarksburg High School, Room 213 Page | 4

S1:_____ S2:_____ Ms. Costlow

INTERNSHIP APPLICATION Clarksburg High School

Name:_____________________________________________________________ (Last)

(First)

Sex: M / F

(M.I.)

Student #: _____________ Grade:_______ Age: _______ Date of Birth: Mo.___ Day___ Yr___ Languages spoken? _______________________________________________________________ Address: ________________________________________________________________________ (Street)

City___________________________________ Zip__________

Home Phone _____________________

Are you a US Citizen?

Y / N

Cell Phone _________________

E-mail address _________________________________ Is this your Edline email?

Yes / No

Name of Parent(s) ______________________________________________ Phone _____________ or Guardian(s) ______________________________________________ Phone ____________ (Last)

(First)

How many periods a day do you wish to intern? Check:

(Work/Cell)

Single

 Double

 Triple period

What periods? _________

Area of interest for internship: ________________________________________________________ Where you would like to intern? (If you know) ________________________________________________________________________________ Name/Phone Number of Supervisor(s) _____________________________________ Have you contacted places to see if they offer an internship in your area of interest? Yes No If so, where: _______________________________________________________________ What is your cumulative GPA? (unweighted) ____________

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List any courses you have taken or experiences you have had related to your career area of interest: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Write why you are interested in becoming an intern.

_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ If you become an intern, the county does not provide transportation. How do you plan to get to your internship on time every day? ________________________________________________________________________________

Return this form to Ms. Costlow rm. 213 Thank you. [email protected] 301.444.3557

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Clarksburg High School

SAMPLE RESUME: FILL IN WITH YOUR DATA Sample Resume: Fill out with your own information *There is an electronic version of this template in Ms. Costlow’s Pd. 8 Handout Folder if it is helpful to you.

TYPE YOUR FULL NAME HERE Type Your Address Here Type Your Phone # Here Type your e-mail address here and make sure it is professional Objective: To secure an internship in the field of _____________________ Education: 

Clarksburg High School, Clarksburg, MD: 2008 – present Current Senior Cumulative Grade Point Average is: (add this information if it is positive or if your grades are particularly strong in the field you are seeking for example say “grade point average in technology related courses is 

Related High School Courses:  

(List all courses you have taken related to your internship) Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

 Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Work and Volunteer Experience:   

Job Title, Name of Work Place; City, State, years or months employed there (ex: 2008-present) describe your duties here in a few words. Add another job here if you have or have had one. Jobs should be listed current or most recent first in descending order. Volunteer Activities can be listed in this same category in the following manner: (Job title or Name of the Project You Worked On, Place you worked; City, State and # of hours, weeks, months or years volunteered) Describe your duties and responsibilities here in a few words.

Special Skills and Other Qualifications: 



Use different bullets to describe each of your computer skills, Internet skills, typing speed (if you know), foreign languages spoken, license to drive and any other skills that would apply to the kind of internship you’re seeking. Xxxxxxxxxxxxxxxxxxx

Extra Curricular/Community Activities and Interests: 

Use a different bullet to describe each school or community activity in which you participate. (If applicable the amount of time you’ve been involved and any leadership positions held.)

 Use a different bullet to describe each of your interests or hobbies Honors and Awards:    

Honor Roll List any other awards you’ve received for your work at school or in the community, For example: Eagle Scout Awarded June 2011 List things only for high school not middle school



Your resume should not exceed one page and references should be on a separate sheet of paper.

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Clarksburg High School Internship Program Application - Counselor (To be completed by your counselor)

Counselor’s Name _____________________________________ Date __________ Qualifications: Grade Point Average unweighted ___________

Does the student have a history of excessive school absences? (Yes_____ No_____)

Does the student have after school obligations or activities that may interfere with the internship schedule? (Yes_____ No_____)

Do you feel that this student will be able to meet the criteria to participate in the internship program? (Yes ______ No ______)

Comments: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Please return this form to Ms. Costlow’s office mailbox at your earliest convenience.

________________________________ Counselor Signature

____________________ Date

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Please Return to Ms. Costlow’s Office Mailbox Student Internship

Faculty Recommendation Form

Student: Last: __________________________ First: _________________________ Please Print

The above student has given your name as a reference on an application for admission to the Student Internship Program. Please return this form to Ms. Costlow at your earliest convenience. In what class(es) or activities have you observed this student? __________________ Print Teacher Name: __________________________________________________ Needs Help

Fair

Average

Good

Excellent

Relating to others Attendance Punctuality Cooperativeness Personal Appearance Expression of Ideas Industriousness Reliability Scholarship (ability) Initiative Leadership Qualities Comments: Special Talents or Strengths:

Areas in which student may need special assistance:

_______________

_______________________________________ Page | 9

Date

Teacher Signature

Please Return to Ms. Costlow’s Office Mailbox Student Internship

Faculty Recommendation Form

Student: Last: __________________________ First: _________________________ Please Print

The above student has given your name as a reference on an application for admission to the Student Internship Program. Please return this form to Ms. Costlow at your earliest convenience. In what class(es) or activities have you observed this student? __________________ Print Teacher Name: __________________________________________________ Needs Help

Fair

Average

Good

Excellent

Relating to others Attendance Punctuality Cooperativeness Personal Appearance Expression of Ideas Industriousness Reliability Scholarship (ability) Initiative Leadership Qualities Comments: Special Talents or strong points:

Areas in which student may need special assistance:

_______________ Date

_______________________________________ Teacher Signature

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Clarksburg High School

Internship Application Packet Checklist

Student Name: _________________________ ID#____________ Name of Document

Completion

Internship Parent Permission Internship Application Resume Counselor Form

□ □ □ □

(Counselor’s Name-_____________________________________________)

Faculty Recommendation Form

□

(Staff’s Name-_____________________________________________)

Faculty Recommendation Form

□

(Staff’s Name-______________________________________________)

□ All materials MUST be attached prior to handing in your Application Packet (rm 213 or Ms. Costlow’s office mailbox) Be sure you listed teachers/counselor who were given recommendation forms to return. Thanks. Page | 11