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Application

Academic Internship Program


Westchester/Rockland

Fall

Spring

Full Name:

Social Security Number:

Home Mailing Address (w/zip code): __________________________________________________________ Home Telephone # _______________________ Cell Phone # ______________________________________ College Mailing Address w/zip code: E-mail Address: EDUCATION What college or university do you attend? ______________________________________________________ Which year will you have completed by December/May? Check one of the following: Sophomore Junior Senior Graduate

Education

Name & Address

Major

Degree

High School

Junior College

College or University

Graduate School

Internships are based in Manhattan.


Do you have a special interest in education and training in any of these areas: Digital News Reporter ___ Entertainment Web Producer ___ Photo ___ Social Media ___ Web Producer ___ This internship requires you to spend two days at Newsday and receive academic credit.

ACADEMIC REFERENCES

List names and phone numbers of two faculty members familiar with your interest and skills in journalism.
1.

2.

Will you receive any educational credit for the internship? BACKGROUND INFORMATION

Yes

No

Are you 18 years of age or older? __________

If not, state your age: __________

Have you ever been convicted of any violation of law? __________________ (Do not report any convictions that have been sealed, expunged, or resolved pursuant to a youthful offender program.)

If yes, describe in full including dates of all convictions: __________________


List any languages you speak: ____________________________ Passport: Y/N _____ Passport #: _______________

How were you referred to Newsday? ___________________________________________________________________ Have you ever worked at Newsday? ___________________________________________________________________ If yes, specify dates, departments, and supervisors: _______________________________________________________

The academic internships are in our Manhattan office. Would you be willing to commute to Manhattan? Yes No
If you have not worked for Newsday, have you previously applied for a job at Newsday? __________________________

If yes, for what position and when? ________________________________________________________________________________ ______

The information I have given on this application is true and complete. I understand that, if accepted, my internship maybe terminated at any time, by either Newsday or myself, with or without cause. The internship is subject to a background check, review of references, and the ability to meet the requirements of the internship. I hereby authorize all references and representatives of educational institutions named in this application to give any information relevant to my internship application and expressly release such references and representatives from all liability for any damage for issuing this information. I understand that Academic Interns are not entitled to a job at the end of the internship and that I am free to seek employment elsewhere. I also understand that I will not receive any wages during my Academic Internship and that I would not be considered an employee of Newsday for minimum wage or any other purpose.

Signature:

Date:

It is the policy of Newsday to maintain and promote equal opportunity. Internships shall be offered solely on the basis of merit, qualifications and competency without regard to the race, religion, color, national origin, sex, age, handicap or other protected characteristic of the applicant.
Applications should be sent to:

Mae Cheng Managing Editor Local Media Group/Westchester 240 W. 35th St. 9th Floor New York, New York 10001 Questions may be addressed to mcheng@cablevision.com
Rev.6/__/12

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