INTERNSHIP APPLICATION
PLEASE PRINT CLEARLY OR TYPE
DATE_______
____
NAME_________________________________________________________________
(Last)
(First)
(MI)
ADDRESS (Current)
(Permanent)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
PHONE NUMBER (Current)
(Permanent)
________________________________________________________________________
UNIVERSITY/COLLEGE__________________________________________________
CITY_________________________________________ STATE __________________
CLASS LEVEL (at start of internship): Junior_____ Senior _____
EXPECTED DATE OF GRADUATION_______________________________________
FACULTY CONTACT PERSON____________________________________________
Department________________________________ Phone no. ____________________
Dates available: From __________________ to _________________________
Department preferred (internships may not be available every semester in each
department listed). Rank order of your choices: 1=1st choice, 2=2nd choice, 3=3rd choice
News______
Programming/Community Relations______
Production_____
Creative Services______
Sports_____
Sales____
Digital News (Internet) ____
How did you learn about the internship opportunity at WHAS11?
________________________________________________________________________
____________________________________________
List SKILLS and/or prior WORK EXPERIENCE relevant to the internship desired (a
resume may be submitted)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
PLEASE RESPOND TO THE FOLLOWING QUESTION:
Why are you interested in doing an internship at WHAS11, and what do you hope to
achieve by the end of the internship? Attach an additional sheet if necessary.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
EMERGENCY CONTACT
Name_______________________________ Relationship to you_________________
Day Phone no.________________________ Evening Phone no._________________
I certify that the statements I have made are true, and I authorize WHAS11 to
investigate the accuracy and completeness of the information provided.
____________________________________________ __________________________
(Signature)
(Date)
MAIL COMPLETED INTERNSHIP APPLICATION TO:
WHAS11, Attn: Human Resources, 520 W. Chestnut Street, Louisville, KY 40202
If you have questions, call the Human Resources Department at (502) 582-7711.
It is the policy of WHAS11 not to discriminate in its employment and personnel practices
because of a person's race, color, creed, religion, sex, national origin, age, sexual
orientation, or disability.
Discriminatory employment practices are specifically
prohibited by the Federal Communications Commission and by the federal, state, and
local laws and regulations. If you believe your equal employment rights have been
violated, you may contact the FCC, Washington, DC 20554; The Equal Employment
Opportunity Commission, Washington, DC 20506; or other appropriate federal, state, or
local agencies.