Please fill out the application completely. If any information is missing, your application may be delayed or rejected. Please print your responses, except for your signature.

 

 

Application Date

     

Student Information

Student’s Name

Academic Standing During Internship Term

 

     

Fr.

Soph.

Jr. 

Sr.

College or University

City, State

     

     

Major / Minor

GPA

     

     

Temporary Address

     

Permanent Address

     

Telephone (Day)

Telephone (Evening)

     

     

Emergency Contact Name, Relationship to Student

Emergency Contact Telephone Number

     

     

 

Area of Interest

Internships are available in the following departments / areas of interest. Hours may vary depending on the assignment and student schedule. Please indicate your preference.

Assignment Desk

Sports

Weather

Sales

Reporting

Producing

Editing

Promotions

ABCNews4.com

Production

Photojournalism

Other      

 

Availability

Semester Desired

Year Desired

     

     

Weekly Availability (Fifteen Hour Minimum)
Please note that we will try to accommodate your scheduling requests, but we cannot guarantee them.

Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

     

     

     

     

     

     

     

Nights

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

     

     

     

     

     

     

     

Other Obligations

Please indicate additional responsibilities and time commitments you anticipate during your internship term. Note that we will not use this information to consider your application, but we may consider it during scheduling.

     

     

     

     


Education and Training

High School

City, State

     

     

Number of Years Attended

Did You Graduate?

     

Yes

No

College / University

City, State

     

     

Number of Years Attended

Major

     

     

Overall GPA

Major GPA

     

     

Trade School / Technical College

City, State

     

     

Date Attended

Course of Study

     

     

Certification or Degree Earned

Name of Special Designation

Yes

No

     

Software and Equipment Proficiency

     

     

     

Accomplishments and Awards

     

     

     

 

Prior Internship Experience

Media Outlet / Organization

Date

     

     

Internship Coordinator

Telephone Number or Email Address

     

     

Activities, Accomplishments, etc.

     

Media Outlet / Organization

Date

     

     

Internship Coordinator

Telephone Number or Email Address

     

     

Activities, Accomplishments, etc.

     

Media Outlet / Organization

Date

     

     

Internship Coordinator

Telephone Number or Email Address

     

     

Activities, Accomplishments, etc.

     


Employment History

Most Recent Employer

 

 

Company Name

City, State

     

     

Title

Dates of Employment

 

     

Supervisor / Title

Telephone

     

     

Duties

     

     

Reason for Leaving

     

May We Call for a Reference?

Yes

No

Second Most Recent Employer

Company Name

City, State

     

     

Title

Dates of Employment

     

     

Supervisor / Title

Telephone

     

     

Duties

     

     

Reason for Leaving

     

May We Call for a Reference?

Yes

No

Third Most Recent Employer

Company Name

City, State

     

     

Title

Dates of Employment

     

     

Supervisor / Title

Telephone

     

     

Duties

     

     

Reason for Leaving

     

May We Call for a Reference?

Yes

No

 

References

Please list the names and numbers and / or email addresses of three references we may contact.

Name / Title

Phone Number / Email Address

     

     

Name / Title

Phone Number / Email Address

     

     

Name / Title

Phone Number / Email Address

     

     


Internship Candidate Questionnaire

Why are you interested in television news?

     

     

     

     

     

Briefly describe why you wish to participate in our internship program.

     

     

     

     

     

Briefly describe your goals for the internship.

     

     

     

     

     

What expectations do you have once you have completed your internship here?

     

     

     

     

     

 


 

Statement of Truth

I certify that the information on this application is accurate, complete and subject to verification. I authorize and release from liability all individuals and organizations to provide information requested by this Station for the purposes of processing this application. I indemnify the Station, its shareholders and their officers, directors and representatives from any and all liability that may result from making such an investigation. I further certify that the information that I have provided on this application and in any interview is true and accurate as well as all other documentation submitted with this application (such as my resume), and I understand that any misrepresentation, whenever discovered, is cause for immediate dismissal from the internship program. I understand this application is active, if I continue to desire participation in the internship program and have not been offered placement, for six months from the date of completion and signature. At the end of that time period, a new application must be furnished if I remain interested in participation in the internship program with the Station.

Printed Name

Date

     

 

Signature of Intern Candidate

 


 

Verification of Academic Credit

This verifies that the student listed below qualifies to participate in the WCIV-TV/DT, ABC News 4 internship program and will be eligible to receive course credits upon successful completion of the internship term.

Student’s Name

     

College / University

     

Number of Course Credits to be Earned

Minimum Number of Work Hours Required

     

     

Student Internship Advisor

     

Mailing Address

     

Phone Number

Fax Number

     

     

Email Address

     

Student Internship Advisor’s Signature

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


An Allbritton Communications Station

 

WCIV-TV/DT, ABC News 4

888 Allbritton Boulevard

Mount Pleasant, SC  29464

Phone (843) 881-4444

Fax (843) 849-2519

http://www.abcnews4.com