Internship Registration Form

2023 Summer Intern Information

This form must be completed by all DMC based interns and undergraduate student employees. In addition to this form all interns must complete the emergency contact form available here: https://forms.gle/pWukZp111FChLquF9

Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Cell Phone*
Name of college or university*
Anticipated/received degree and graduation date*
Who is the PI you are working for this summer?*
Arrival Date (must arrive on a Monday)*
Confirm arrival and departure dates with your supervisor. The earliest arrival date is MONDAY, May 22nd, after 4:00 pm and before 8:00 pm. Arrivals are possible all Mondays thereafter. All residents should report to the Brooke Hall meeting space for an orientation at 8 pm.
MM slash DD slash YYYY
Anticiapted Departure Date*
Interns staying in DMC housing must depart no later than 5:00 PM Thursday August 17 unless by special arrangement with the DMC Programs Manager.
MM slash DD slash YYYY
Will you be staying in the DMC dorm or off campus?*
- DMC dorm
- Off campus
If staying at the DMC, who is paying for your dorm accommodations?*
- Supervisor (PI)
- Myself
Gender*

For housing assignments
Roommate preference
Students will likely be in triples or quads this summer. Roommate requests are not guaranteed, but we do our best to accommodate everyone. We will only try to accommodate roommates who both request each other.
Are you enrolled in the 2023 Semester By the Sea program?*
- Yes
- No
Date of Birth*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.