Mississippi Magazine Internship

Applicant Name*

Date of Birth*

MonthDayYear

SS#*

Phone Number*

Area CodePhone Number

Alternate Phone Number*

Area CodePhone Number

E-mail*

Home Address*

City*

State*

ZIP*

Term applying for:*

Fall (Sept-Dec)Spring (Jan-May)Summer (June-Aug)

Position:*

EditorialSales/MarketingGraphics/Creative

University or College*

Classification*

School Address*

City*

State*

ZIP*

Major*

Minor (if applicable)

Current GPA*

Activities

Related Work Experience

Computer Skills

Please print and sign this form and obtain the signature of your dean or department head. Include completed form with other application requirements and mail in one package to Mississippi Magazine, 5 Lakeland Circle, Jackson, MS 39216.

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Student Signature

___________________________
Date

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Dean/Department Head Signature

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Date