Leadership Initiatives 2021 Summer Internship Interest Form
Who Is Filling Out The Interest Form?
*
I am a student
I am a parent
Student Full Name
*
First Name
Last Name
Student Email
*
example@example.com
Student Phone Number
*
-
Area Code
Phone Number
Would You Like To Add Your Parent's Contact Information? (Not Required)
*
Yes
No
Parent Full Name
First Name
Last Name
Parent Email
example@example.com
Parent Phone
-
Area Code
Phone Number
Parent Full Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
-
Area Code
Phone Number
Student Full Name
*
First Name
Last Name
Would You Like To Add Your Child's Contact Information? (Not Required)
Yes
No
Student Email
example@example.com
Student Phone Number
-
Area Code
Phone Number
How Did You Hear About Us?
*
Envision
Teacher Nomination
HOSA
International Internship Program
Mock Trial
Moot Court
Teen Court
National Honor Society
NCHSE Member
Past Summer Student
Presidential Scholars Program
State Department of Education
Name of Student's School (if homeschooled write 'homeschooled')
*
Student Graduation Year
*
2021
2022
2023
2024
2025
2026
Program of Interest
*
International Business & Leadership Summit
International Business & Leadership Summit Tier II
Advanced Law & Trial Internship Summit
Advanced Law & Trial Internship Summit Tier II
Advanced Medical & Public Health Summit
Advanced Medical Neuroscience Summit
National Security And Intelligence Summit
Which Type Of Program Are You Interested In?
In-Person Programs At Georgetown University
Online Programs
Both
Submit
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