Internship Program Registration

Personal Information

First Name *

Last Name *

Date of Birth *

RMI Social Security Number *

Home Atoll

School

School Name

Gender

Male Female

Citizenship

RMI Other

Are you disabled?

Yes No

Highest Level of Education

Elementary School Middle School High School CMI GED/ABE course Associate degree Bachelor's degree Master's degree

Email *

Telephone / Cell Number

Mailing Address (P.O. Box #)

Internship Location *

Majuro Ebeye, Kwajalein

Application Type

New Extension

Extension request — only an Update Request Letter is required. All other documents are optional.

What was the focus / major / topic of your studies?

e.g. accounting, welding

Employer

Plan after completing the training you are applying for

Apply for a job Start a business Apply for a school / vocational school Work to develop my training plan or business plan

Reason for Applying

Optional — you can also bring these in person or send them later. PDF, Word, Excel, or image files up to 10MB each.

Resume

Verification Letter

Training Plan from Employer

SSN Card / ID

Signature *

Upload Signature