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APPLICATION

CMCMA Studies Programs


Department of Radio/Television, Department of Cinema & Photography, and School of Journalism
Summer 2010

Please type or print:

Name: ____________________________________________________ Gender: _____ Male _____ Female


(First) (MI) (Last)

Date of birth: _____________________________ Student I.D. #: ____________________________

Class year: _____ Junior _____ Senior _____ Graduate Overall GPA: ________ Major GPA: ________

Expected date of graduation: ______________________________________________________________

Present address (Good until_____/_____/_____): Permanent address:

_________________________________________ ________________________________________

_________________________________________ ________________________________________

_________________________________________ ________________________________________

Phone: ( ) ____________________________ Phone: ( ) ____________________________

E-mail address: __________________________________________________________________________

In case of emergency, notify: _______________________________ Phone: ( ) __________________

Cell phone: ( ) ____________________ Email address: _____________________________________

Major: ___________________________________ Concentration: ____________________________

SIUC department: ________________________________________________________________________

Studies Program in which you are interested:


(If you check more than one city, please rank them by 1 for first choice, 2 for second choice, etc. If you
are selected for the Studies Programs, you will have to choose a city within a week after your
selection.)

_____ Hollywood _____ Chicago _____ New York _____ Nashville _____ Washington, D.C.

Under the category for the Studies Program in which you are interested, please indicate your first two
choices for a potential internship in a media-related field. (Example: First choice: Cinema production;
Second choice: Screenwriting.)

Hollywood Studies:

First choice: ______________________________________________________________________________

Second choice: ___________________________________________________________________________

Chicago Studies:

First choice: ______________________________________________________________________________


Second choice: ___________________________________________________________________________

New York Studies:

First choice: ______________________________________________________________________________

Second choice: ___________________________________________________________________________

Nashville Studies:

First choice: ______________________________________________________________________________

Second choice: ___________________________________________________________________________

Washington, D.C. Studies:

First choice: ______________________________________________________________________________

Second choice: ___________________________________________________________________________

Experience, skills, interests, training (including courses) that might bear on your contribution to the
program: (If listing courses, please describe the course content, rather than list the course number)

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Most employers make initial contact with students interested in internships via email. Imagine that you
just received the email below from a prospective sponsor. On a separate sheet of paper or in the
space below, please write or type a response to the following email.

Subject: Internship Interview Request

Dear [Student],

I received your resume from your internship coordinator and am interested in speaking to you further about an
internship with our company. I was hoping you could tell me a bit more about yourself, such as what you are
interested in doing this summer, what your long-term goals are, and why you think you’d be a good choice for
an intern for our company. Also, please let me know your availability over the next week so we can set up a
telephone interview. Thanks for your time and interest.

Sincerely,

Patricia Steinbeck
V.P., Opportunity Media Group