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The Clear Channel Radio Internship Program has been designed to provide qualified full-time - page 10 / 11

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Self Identification

SEX:   Male   Female

RACE/ETHNICITY:

American Indian or Alaskan Native (A person with origins in any of the original peoples of North America who maintains cultural identification through tribal affiliation or community recognition.)

Asian or Pacific Islander (A person with origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands.  This area includes, for example, China, Japan, Korea, the Philippine Republic and Samoa; and on the Indian Subcontinent, includes India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim and Bhutan.)

Black (An individual, not of Hispanic origin, with origins in any of the Black racial groups of Africa.)

Hispanic (A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.  This does not include persons of Portuguese descent or persons from Central or South America who are not of Spanish origin or culture.)

White (An individual, not of Hispanic origin, with origins in any of the original peoples of Europe, North Africa, or the Middle East.)

Other

For internal use only:

Student:

Start Date:

College:

Semester:

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