NYSIA  
May 13, 2008
6:44 PM
         
NYSIA ASSESSMENT/CAREER PLAN
INTERNSHIP PROGRAM | CHECK INTERNSHIP LIST

Note: all fields are required unless marked optional
 
Name   First:    Last:  
Address    Social Security #  
City   State       Zip      
Phone   Email 
Set Password:  
Confirm password:  
URL [optional]   http://
Upload resume  
[Please model your filename after this example: Mike A. Miller would be "res_MillerMA.doc". NOTE: only .doc, .rtf, and .txt formats are accepted!]
Upload cover letter  
[Please model your filename after this example: Mike A. Miller would be "cov_MillerMA.doc". NOTE: only .doc, .rtf, and .txt formats are accepted!]
[Be sure to include a brief summary of your technical skills, accomplishments, projects, and goals]
   
  Are you a U.S. Citizen? yes no
    If no, do you have a green card or visa? yes no

 
CUNY Campus          
Major  
(must be Computer Science or equivalent) 		GPA in
major
(numeric
e.g. 3.4)
    
 
  Expected graduation date  
 
Upload transcript  
[If you are unable to upload transcript, please mail or fax: Attention Internship Coordinator]
   
[Please model your filename after this example: Mike A. Miller would be "tra_MillerMA.doc". NOTE: only .doc, .rtf, .pdf, and .txt formats are accepted!]
 
 I can work in the following locations (choose one or more):
    Bronx  Brooklyn  Manhattan  Queens  Staten Island 
    Long Island  New Jersey  Westchester 
 

 
Professional Goals
 [optional] 		 
Areas of Interest
(choose one or more)		   Programming Systems Analysis
    Web Development Network Administration
    Other
 
Computer Language Proficiency (one or more):
Language   Proficiency   Experience using this language
   
   
   
   
   
Additional Languages    
 
Platforms and Operating Systems (one or more):
Platform or OS   Proficiency   Experience using this platform or OS
   
   
   
Languages Spoken and Written (one or more):
Language   Fluency Speaking   Writing Proficiency
   
   
   

References (at least two):
Name Title or Position Telephone Email
 
 
 
NYSIA: 55 Broad Street, 10th floor | New York, NY 10004
Phone: (212) 475-4503 | Fax: (212) 979-2372