Student Application Form

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Welcome to the Student Application for Oregon MESA's Digital Design Lab Apps (D2L Apps) Summer Internship, held at Portland State University

Please complete this application by 5 pm on Friday, July 1st. You may revise your application after starting it. However, all revisions must be submitted before the July 1st deadline.

All questions can be forwarded to ormesa@pdx.edu

What is your first name? *

What is your last name? *

How many years have you been in Oregon MESA? *

Gender *

Female

Male

Prefer not to answer

Other:

What is your birth date? *

YYYY

Mailing Address

Phone Number *

What is your grade level for 2016-2017 school year? *

What school do you attend?

Which of the following do you identify as?

Please check all that apply

African-American

Native American

Pacific Islander

Hispanic/Latino

Caucasian

Asian

Prefer not to answer

Other:

Are you eligible for free/reduced meals? *

Yes

Don't know

Other:

Why are you interested in becoming a D2L Apps Intern? *

In 250-500 words, please touch on one or more of our program requirements (curiosity, dedication, passion for technology, interest in solving real-world problems, and willingness to learn new things).

If you have a resume on file, please email it to ormesa@pdx.edu *

If you do not have a resume, please give us a brief description of your prior work or volunteer experience.

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