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 ‭(Hidden)‬ Content Editor Web Part


 

Title


Personal Data

First Name


Student's First Name

Last Name


Your Last Name

Email


Your KCC email (only KCC emails allowed)

Phone


Your phone number. 10 numbers only-- no dashes or any other punctuation
eg. 2121231234

International

Are you an International Student?
College Information

Major


Credits

   
Number of credits earned from KCC

GPA


After_KCC

Are you planning on pursuing further education after KCC?

Activities


Please list any
Interests/Hobbies/Clubs/Awards/
Community Service

Membership

Are you currently a member of Phi Theta Kappa?

Status

Check any that apply
Using the list below, choose departments whose internships interest you.

Internships



Using this list, choose departments whose internships interest you.
Please click the   Submit button to submit this form. A staff member from the Office of Career Development, Transfer/New Opportunities, and Service-Learning will soon contact you.