mta.info

Equal Employment Opportunity
Internship Program
STUDENT INFORMATION FORM

First Name:   M.I.:   Last Name:

E-Mail Address:   Telephone/Cell No.:

Address:   Apt #:

City:   State:   Zip:

Status:   U.S. Citizen   Green Card   F1 Student

Name of School:   Major:

Current Level (Choose One):
Associate:
Bachelors: Junior   Senior
Graduate: Masters   PhD

Credits Completed:   Cumulative GPA:   Expected Date of Graduation:

Name of School Coordinator:

Coordinator's Telephone No.:

E-Mail Address for School Coordinator:

Please check the number of hours that you will be available for work:  
14 hours   20 hours   20-35 hours (Graduate Students Only)

Are you related to anyone in MTA NYC Transit?   Yes   No
If 'Yes', relationship:  

Please list up to three projects of interest with their complete project numbers:

1.  

2.  

3.  


Please attach resume:


Specify an available interview date, and whether A.M. (morning) P.M. (afternoon), or anytime during the day:
(i.e., September 24, P.M.)