San Diego iBotics Membership Application

Please note that the * indicates a required field.

Hours of Availability

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Tue

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Sat

Sun

*How often would you be available to participate on Saturday afternoons?	Most of the time	Sometimes	Rarely	Never
*What is your current enrollment status at an accredited educational institution?	Full-time	Part-time	Not Enrolled
*Would you be able to submit verification of at least part-time enrollment at an accredited educational institution?	Yes	No
*Would you be interested in an internship from an engineering company?	Yes	No
Briefly, how did you hear about San Diego iBotics?

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

List any activities you have participated in that may be applicable:

Activities	Description of your participation

List any awards and/or honors you have received that may be applicable:

Awards/Honors	Description of your award/honor

List any skills that may be applicable (it is not necessary to have skills in all of these areas):

Computer Operating Systems:	Windows	Macintosh	Linux

Computer Applications (list all that apply):

Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: