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Internship Program Clarksburg High School Sarah Costlow Internship Coordinator [email protected] 301.444.3557 (ofc.) 301.444.3000 (school) 301.4443595 (fax) Application Packet
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Page 1: Internship Program - Montgomery County Public … during periods 5, 6, and 7, students in the Internship Program participate in a paid or unpaid internship ... Page | 5 INTERNSHIP

Internship Program Clarksburg High School

Sarah Costlow

Internship Coordinator

[email protected]

301.444.3557 (ofc.)

301.444.3000 (school)

301.4443595 (fax)

Application Packet

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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]

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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

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INTERNSHIP APPLICATION

Clarksburg High School

Name:_____________________________________________________________ Sex: M / F

(Last) (First) (M.I.)

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

(Street)

City___________________________________ Zip__________ Are you a US Citizen? Y / N

Home Phone _____________________ Cell Phone _________________ E-mail address _________________________________ Is this your Edline email? Yes / No Name of Parent(s) ______________________________________________ Phone _____________ or Guardian(s) ______________________________________________ Phone ____________ (Last) (First) (Work/Cell)

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

S1:_____ S2:_____

Ms. Costlow

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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: __________________________________________________

Comments:

Special Talents or Strengths:

Areas in which student may need special assistance:

_______________ _______________________________________

Needs

Help

Fair Average Good Excellent

Relating to others

Attendance

Punctuality

Cooperativeness

Personal Appearance

Expression of Ideas

Industriousness

Reliability

Scholarship (ability)

Initiative

Leadership Qualities

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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: __________________________________________________

Comments:

Special Talents or strong points:

Areas in which student may need special assistance:

_______________ _______________________________________ Date Teacher Signature

Needs

Help

Fair Average Good Excellent

Relating to others

Attendance

Punctuality

Cooperativeness

Personal Appearance

Expression of Ideas

Industriousness

Reliability

Scholarship (ability)

Initiative

Leadership Qualities

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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.


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