Internship Program Registration

Personal Information

First Name *

Last Name *

Date of Birth *

RMI Social Security Number *

Home Atoll

School

School Name

Gender

Male Female

Citizenship

RMI Other

Citizenship (please specify)

Are you disabled?

Yes No

Highest Level of Education

Elementary School Middle School High School CMI GED/ABE course Associate degree Bachelor's degree Master's degree

What was the focus / major / topic of your studies?

e.g. accounting, welding

Email *

Telephone / Cell Number *

Mailing Address (P.O. Box #)

Apply Location *

Majuro Ebeye, Kwajalein

Application Type *

New Extension

Extension request — only an Extension Request Letter is required. All other documents are optional.

Have you enrolled in an NTC funded program in the past?

Yes No

Please describe

Plan after completing the training you are applying for

Apply for a job Start a business Apply for a school / vocational school Work to develop my training plan or business plan

Reason for Applying

Optional — you can also bring these in person or send them later. PDF, Word, Excel, or image files up to 10MB each.

Employer

Resume

Verification Letter

Training Plan from Employer

SSN Card / ID

Signature *

Upload Signature