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The Clear Channel Radio Internship Program has been designed to provide qualified full-time - page 4 / 11

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Name: _______________________________________________________________________

Permanent Address: ______________________________________________________________________________

School Name and Address: ____________________________________________________________________________________________________________________________________________________________

Primary Phone:     (_________)___________-______________

Secondary Phone:  (_________)___________-______________

E-mail: ___________________@____________________

Alternate e-mail address:  __________________ @____________________

Intern Program Director Name and Phone: (This must be at your school)

_______________________________, (________) __________-___________

E-mail Address:______________________@__________________________

Status:

High School

Freshman

Sophomore

Junior

Senior

Major/Minor: _______________________________________________ GPA: ___________

Expected Graduation Date:  ________________________________

Department Preference (List 2): ______________________; ____________________

Semester you are applying for: _____________________________________

Internship end date:_______________________________________________

Senior Project dates (where applicable)___________________________________

Skills:  Check all that apply

Typing WPM

Digital Audio Editing

Production

Writing

Announcing

Reporting

Engineering

Acting

Event planning

Copy Writing

Audio Mixing

Videography/photography

Web Design

Photoshop

Availability:

Monday

Tuesday

Wednesday

Thursday

Friday

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