Please complete the following information. Name: * College Address: * Telephone: * Email: * Permanent Address: * EDUCATION High School Name: * High School Location: * College or University: * Expected Graduation Year and Semester: * GPA: * Major(s): * Minor(s): * Total credit hours completed to date: * Name of other colleges attended: Location of other colleges attended: Organizations: Activities Leadership Positions: Honorary Organizations: Awards: Scholarships: Military Service: * Yes No Are you currently employed? * Yes No If yes, where? GENERAL INFORMATION What are your career goals? * Why does the BankLEAD program interest you? * Please enumerate any other qualifications that you feel would specifically recommend you for the Inter Program. Where would you prefer to have your internship located in Indiana? * How did you hear about the BankLEAD program? * Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment) * Yes No Have you ever been convicted of a criminal offense involving dishonesty or breach of trust (including but not limited to robbery, embezzlement, forgery, perjury, tax evasion, etc.) * Yes No Resume * Files must be less than 8 MB.Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.