Summer Internship Application

Personal Data

If you prefer to not send us this information over the internet. You may print out this application form and fax it to (845) 398-3384. Or mail to: Allen Perri Design Group, Ltd. 23 Valenza Avenue, Blauvelt NY 10913

First Name:
Last Name:
Position you are applying for:
Email Address
Present address (street, city, state, zip):
Daytime Telephone:
Evening Telephone:
Date you are available: (start) - (finish)
Have you attained the age of 18? Yes No
Have you ever been convicted of a felony?
(Answering yes will not disclude your eligibility for this position): 		Yes No
Do you have the legal right to work in the U.S.? Yes No
Education
HIGH SCHOOL
Name and location of school:
GPA:
Date Graduated:
COLLEGE or Trade School
Name and location of school:
GPA:
Major:
Date Graduated:
Degree:
Scholastic honors - indicate whether high school or college:

Special Skills

Please indicate if you have specific experience with the following equipment:
 
No Exp
Beg
Interm
Advanced
Years of Exp
Color Laser Printer
Large-format Ink-Jet Printer (44")
Large-format sheet-fed laminator
Large-format roll-fed laminator
Dry-mounting press
Please list other types of office and production equipment you can operate:
Please list any special skills or training you have related to the intership position you are applying for:

Please indicate which computer/operating systems you can operate along with your ability level and the number of years experience:
 
No Exp
Beg
Interm
Advanced
Years of Exp
Mac OS 9
Mac OS X
X Serve
Windows XP

Please indicate which computer programs you can operate along with your ability level
Please note that not ALL of the programs listed below may be required for the job you are applying for:
 
No Exp
Beg
Interm
Advanced
Software Vers #
Quark
Abobe Illustrator
Adobe PhotoShop
Adobe ImageReady
Macromedia Fireworks
Macromedia Flash
Adobe Acrobat
DreamWeaver
Extensis Portfolio
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Filemaker Pro
How many words per minute can you type?:
Do you have a valid driver's license?: Yes
No
Do you have access to a car? Yes
No

Internship History
Have your interned before? Yes No
If yes, describe the job responsibilities of your last internship:
List any award or special recognition you have received for your internship performance or contributions:
Please upload your resume detailing your qualifications (PDF and MS Word documents are acceptable):
Please upload atlease 3 PDFs file showing samples of your work. Please DO NOT send a file that is more than 1MB.
Please list urls of websites that you have worked on. Below each url, indicate what your role was on the website.

CERTIFICATION
By clicking the SUBMIT button below, I hereby certify that all entries on this application and attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment for the Allen Perri Design Group. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize the Allen Perri Design Group to rely upon and use, as it sees fit, any information received from such contacts.