You may fill out this form using Microsoft Word. Type responses in the grey-shaded areas, or click the grey-shaded check boxes. Application Checklist All of the following documents are required to be submitted as part of your application for the ACE Select Internship Program. Application form (2 pages) Resume/CV Unofficial college/university transcripts Two (2) character references Please send the above documents to (Bermuda.humanresources@acegroup.com) by November 13th, 2015 to apply. Please note that the ACE Select Internship Program will begin June to August 2016. Personal Information Last Name First Name Birth date (mm/dd/yyyy) Social Insurance Number M. I. Male Proof of Bermudian Citizenship Please choose one and provide identification number. Passport #: Birth Certificate Female Contact Information: Bermuda Street Address Phone Parish Postcode Email University Information College/University Name Degree Program Expected Graduation Date Major / Minor Current GPA (or equivalent) Contact Information: Abroad Street Address Apartment/Unit # Town/City/ Parish State/Province Phone Email Country Postcode/ZIP Additional Information Would you be available for an in-person interview, to take place in Bermuda in December? 1 Personal Statement Please describe below, in 500 words or less, why you feel you would be a successful candidate for this internship. Signature I certify that my answers are true and complete to the best of my knowledge. Signature ______________________________________ Date __________________ If you are filling out this form electronically and will submit it via email, you may simply type your name and the date above. 2