Mainspring Academy is an equal opportunity organization. All applicants considered for positions without regard to veteran status, uniformed service member status, race, religion, sex, national origin, age, physical or mental disability, genetic information, or any other category protected by applicable federal, state, or local laws
Applicant Information
Internship Area(s) of Interest (Select all that apply).
If you selected "other", please describe.
How did you hear about us?
Name (First and Last)
Name of University, College, or High School related to your internship program
Name of Professor/Instructor
Email Address of Professor/Instructor
Please state your area(s) of study
Anticipated Graduation Date MM/YY
Applicant Date of Birth (MM/DD/YYYY)
Home Address
How long have you lived at your current address? (Years/Months)
Email Address
Phone Number
Type of internship desired:
Specify desired number of weekly hours
If applicable, specify desired salary/hourly rate
Date on which you can begin your internship if hired
Do you have a valid driver's license?
Have you ever been arrested for, pled guilty or no contest to, or been convicted of any criminal offenses including DUI or DWI? (Do not include convictions that were sealed, eradicated, erased, anulled by a court, or expunged, or convictions that were sealed, eradicated, erased, anulled by a court, expunged, or convictions that resulted in referral to a diversion program).
Have you ever been arrested for, pled guilty or no contest to, or been convicted of any criminal offenses including DUI or DWI? (Do not include convictions that were sealed, eradicated, erased, anulled by a court, or expunged, or convictions that were sealed, eradicated, erased, anulled by a court, expunged, or convictions that resulted in referral to a diversion program).
Yes No
Have you ever been arrested for any matters for which you currently are out on bail or on your own recognizance, pending trial including DUI and DWI?
CRIMINAL OFFENSES ONLY: If you answered "Yes" to either of the above two questions, please provide the date(s) and explain so that individual circumstances can be considered. Criminal convictions or arrests will not automatically disqualify an applicant from a particular job.
Have you ever initiated an act of violence in the school or workplace?
If "Yes", please provide the date(s) and explain so that individual circumstances can be considered.
List all special courses and/or technical skills, you feel qualify you for the position for which you are applying:
List any Honors received
List any certifications received
If applicable, list any relevant volunteer experience
If applicable, list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of assumed name, nickname, etc.
Work Experience
Please upload your resume (required in order for your application to be considered).
Resume
Please list any reasons for leaving previous positions
Can you perform the major job functions as listed in the job description with or without reasonable accommodations?
If accommodations are needed, please describe
References
Personal or Professional Reference (Name, Title, and Business)
Phone Number
Number of years known
Personal or Professional Reference 2 (First/Last Name, Title, and Business)
Phone Number
Number of years known
I understand that if I am provided an offer for an internship, Mainspring Academy will conduct a fingerprinting and Level II Background check. I understand that if I accept an offer of internship, Mainspring Academy will require two forms of identification to verify both employment authorization and identification.
I understand that Mainspring Academy may now have, or may establish, a drug-free workplace to include a drug and alcohol testing program consistent with applicable federal, state, and local laws. I understand that if a pre-internship (post-offer) or a random drug and alcohol test is positive, the internship offer may be withdrawn or internship may be terminated. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local laws. I understand and consent to pre-internship and random drug tests as a condition of internship and further agree to undergo alcohol and drug testing consistent with the Mainspring Academy policies and procedures.
I understand and agree that Mainspring Academy, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.
I understand and agree that as a condition of internship and to the extent permitted by federal, state, and local laws, I may be required to sign confidentiality, restrictive covenant, non-compete agreements and/or conflict of interest statements.
I certify that all the information on this application and any supporting documents presented with this application is accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for internship or, if employed, disciplinary action, up to and including immediate termination.
Mainspring Academy is an at-will workplace as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the internship relationship at any time, for any reason, with or without cause of notice. This application or any document or statement, written or oral, shall limit the right to terminate the internship at-will. No officer, employee, or representative of the company is authorized to enter into an agreement express or implied, with me or any applicant for internship for a specified period of time unless such agreement is in written contract signed by the Head of School.
IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF MAINSPRING ACADEMY. I FURTHER UNDERSTAND THE SCHOOL HAS COMPLET DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, WITH THE EXCEPTION OF ITS AT-WILL POLICY.
I authorize Mainspring Academy to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to the extent permitted by federal, state, and local laws. I agree to comply with any and all required pre and post-internship screenings to include background check, drug screen, and driving history investigation.
I authorize and consent to, without reservation, any party or agency contracted by this organization to furnish the above mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, and any party delivering information to Mainspring Academy to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability Mainspring Academy for seeking such information and all other persons, corporations, or organizations furnishing such information.
If hired by Mainspring Academy, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States. I also understand Mainspring Academy employs only individuals who are legally eligible to work in the United States.
I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.
If selected for an interview, I understand that I must contact Mainspring Academy immediately by phone or email if I will be late, if I must reschedule, or if I must cancel. I understand after a 5-minute grace period, a late arrival will result in immediate cancellation of my interview. I understand the School will not be able to accommodate applicant schedule changes after any instances of no-call, no-shows.
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