Location - City and State
Current School / College with Grade Level / Year
*
LinkedIn or X/FaceBook/InstaGram Profile URL
*
Are you under the age of 18? (Yes / No)
*
Yes, I can provide parent/guardian full name, contact info for approval
Yes, but I cannot provide parent details or approval.
No (Don't need parent/guardian approval)
List any computer science or engineering courses taken
*
What are you hoping to learn during this internship?
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How many hours per week are you available?
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5-10 hours
10-15 hours
15+ hours
Not sure yet
Can you commit to a minimum 12–16 week engagement?
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Yes
No
Maybe, depending on vacation plans
Any relevant certifications, hackathons, competitions, or awards?
*
Have you worked on any projects or internships before? If yes, describe briefly:
I understand this is an unpaid internship intended for learning and professional growth.
*
Yes
No
I agree not to disclose any proprietary software, client, or candidate information without written permission.
*
Yes
No
List the programming languages you know (check all that apply):
*
Git / GitHub
HTML / CSS
TypeScript
JavaScript
NodeJS
C# .NET
Python
Other (please specify separated by comma):
Yes, CareTechPros can contact me about job opportunities.
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. For help, email
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