Manufacturing Summer Exploratory Internship Application Form

Student Information

Name *

First Middle Last

High School *

Address *

Street Address Address Line 2 City State ZIP Code

Birthdate *

Age *

Grade for '21-'22 *

SSN

Phone *

Email *

Gender

Male
Female

Are you Hispanic/Latino?

Yes
No

Ethnicity/Race

Have one or both of your parents earned a Bachelor's (4yr) degree or higher? *

Yes
No

Do you qualify for free or reduced lunches? *

Yes
No

What is your shirt size? *

Important Information for Students and Parents

If you require learning accommodations for the coursework portion of this opportunity, please email NCC's Accommodation's Coordinator, Leah Murphy or call 712-324-5061.
Every college class you take while in high school counts towards a college degree at NCC!!
If you enroll in a college class while in high school, your NCC GPA and financial aid academic status starts then.
Taking concurrent enrollment classes in high school makes you eligible for more scholarships at NCC!
A "C" grade or higher is needed for the class to be eligible for transfer to other college and universities.
Visit our website to get more information on programs at Northwest Iowa Community College.

Please read the following statements regarding registrations carefully:

I hereby consent to the release of all of my educational records from Northwest Iowa Community College to my parents and/or legal guardians and to high school personnel at the high school I am attending.
This registration will be given to Northwest Iowa Community College. Your final grade for the course(s) you are taking will become part of your permanent official NCC transcript.

Parent/Guardian Signature *

Student Signature *

Areas of Interest

The following areas of interest have been identified as possible internship opportunities in manufacturing. Please note that some businesses may not offer all of these opportunities. Please find your age range and then check your areas of interest.

Ages 14-15 (per Federal and State laws, this age group is not allowed to work in certain areas, but these opportunities are available) *

Robotics/Automation (limited, no hands-on production equipment)
Manufacturing Support (Safety, Quality, Scheduling, Customer Service, Information Technology, Warehousing/Logistics, etc)
Engineering (Research & Development, Product Design, Process Design, Process Improvement, etc)
Business Operations (Purchasing, Finance, Marketing, Leadership, Human Resources, Business Planning, Etc.)
Other (write in option below)
Unsure

Other Areas of Interest - Ages 14-15 *

Ages 16-21 *

Other Areas of Interest - Ages 16-21 *

Manufacturing Summer Exploratory Internship Application Form

Student Information

Important Information for Students and Parents

Please read the following statements regarding registrations carefully:

Areas of Interest

College while in High School

Contact

NCC Campus

Academics

Admissions