2024-2025 Urban Alliance High School Internship Program Application

Thank you for your interest in Urban Alliance!

High School Internship Program Eligibility

A successful applicant of the HSIP program would have the following:

Be a senior during the program year
Have half-day or early release schedule
Have the ability to work 8 - 12 hours/week during the school year
Have no or very limited after school commitments
Be on track to graduate with a minimum of 2.0 GPA
Are committed to fully participating in the program
Submitted Approval from school Counselor
Submitted Parent/Guardian Consent

Urban Alliance's mission is to provide internship opportunities to students & families that are economically marginalized. Therefore a student must meet one of the following to be eligible for our internship program:

attend a Schoolwide Title I school
attend a school with active Community Eligibility Provision (CEP) status

OR

Qualify for Free and Reduced Lunch

This will be confirmed at the school level.

Application Instructions

Complete the full application. Your application will not be completed until you press the "SUBMIT" button.

2. You do not have to finish the application in one session. You can select the option to "Save and return at a later time" at the top right-hand side of your screen.

3. Once you have successfully completed your application, your Counselor will be notified so
they can approve your request to participate in Urban Alliance.

4. Once you have successfully completed your application, your Parent/Guardian will be emailed a Consent form at the Email provided. This must be submitted in order to be eligible to participate in Urban Alliance.

About You!

The questions below are about you, where you live, how we'll contact you, and where you go to school.

Contact Information

First Name

Last Name

Preferred Name (if different from First Name)

Date of Birth

The format MM/DD/YYYY is required.

Permanent Street Address

Include Unit Number if Applicable

City

State

Zip Code

A 5-digit format is required.

Your Primary Phone Type(s)

Your Mobile Phone

Your Home Phone

Personal Email Address:

Please ensure you are regularly monitoring this email as all correspondence from Urban Alliance will be sent to this address.

School Email Address

About Your School

The questions below are about your academic experiences so far.

In which Urban Alliance region are you located?

I can't find my school in this listOnly select this option if you cannot find your school in the list below.

School Name:

Start typing in your school's name and select it when it pops up! If you can't find your school on this list, select "I can't find my school in this list" above.

What school do you attend?

Tell us the name of your school so that we can add it to our list!

School ID

When do you expect to graduate high school?

What is your current weighted GPA?

What is your current unweighted GPA?

Guidance Counselor Name

Guidance Counselor Email:

How many days were you absent from school this academic year (excused or unexcused)? Please select one option.

0 - 34 - 910 - 1516 or more

Please explain the reason for any excessive absences (e.g., illness).

Parent/Guardian and Emergency Contact Information

Parent/Guardian 1: Please list a parent/guardian

First Name:

Last Name:

Relationship to you:

If "Other", please describe:

When you submit your application, your Parent/Guardian will be emailed a Consent form at the Email address provided. Please ensure the Email is valid and that you confirm receipt as soon as possible.

Email will be sent from an urbanalliance.org address with Subject: Urban Alliance High School Internship Program Consent Form. Be sure to check Spam/Junk folder and/or add to safe senders list.

Parent/Guardian Consent Form must be submitted in order to be eligible to participate in Urban Alliance.

Phone Number Type

Mobile Phone Number

Home Phone Number

Email (do NOT enter student email - must be different than previous email shared)

Is your parent/guardian the best person to contact in case of an emergency?

YesNo

Emergency Contact: Please list the best person to contact in case of an emergency

First Name

Last Name

Relationship to you:

If "Other", please describe:

Phone Number Type

Mobile Phone Number

Home Phone Number

Email (do NOT use student email or parent/guardian email above - must be different than both previous emails)

Work Experience

Your Work Experience

The questions below are about your current and previous employment.

Have you ever held a paying job or paying internship?

Are you currently working?

What is the name of your current employer?

On average, how many hours do you work per week?

What does your typical work schedule look like throughout the week? (For example: Mondays: 6pm-11pm, Thursdays: 8pm-10pm, Saturdays: 3pm-11pm, Sundays: 3pm-11pm).

Personal Statement

This personal statement helps us learn about you in ways different from your GPA, work experience or recommendations. We urge you to take advantage of this opportunity to tell us something unique about you that we cannot learn from the rest of your application.

Please answer the following prompt for your personal paragraph (No more than 250 words).

Describe why you should be selected for the Urban Alliance Internship Program. What do you hope to gain from this program?

Please write your response in the space provided or upload it below. (No more than 250 words)

Conditions for Acceptance

Please read following statements carefully as they are necessary for your acceptance as an Urban Alliance Intern and check the boxes :

I certify the information that I have provided on this application is my own work, factually true and honestly presented. It is my responsibility to ensure I have a complete application and it was received by Urban Alliance.

I understand that incomplete applications will not be processed by Urban Alliance.

In the event that I am accepted, I agree to adhere to all Urban Alliance Policies and Procedures that will be outlined in the Pre-Work training.

I understand that my Internship opportunity may be revoked at any time due to failure to adhere to the Urban Alliance policies or demonstration of inadequate performance at the job site.

I understand that if I am accepted, and unless given specific permission otherwise, I am required attend Urban Alliance daily. During the school year, Urban Alliance programming is typically Monday to Friday, from 2pm - 5pm. During the summer of 2025, after graduation, the paid internship will continue through the end of July and I understand that I will continue to work Monday through Thursday for 8 hours a day and attend Friday workshops.

Although Urban Alliance makes every effort to accommodate individual preferences for Internship location, I understand and accept the condition that Urban Alliance will make Internship placements based on numerous factors and my first choice Internship is not guaranteed.

I have read and accept the conditions for acceptance.

Submit your application

Read through the following instructions before pressing "Submit"

1. Once you press "SUBMIT", you will no longer have access to the application.
2. You counselor must submit the Counselor Form in order to have a complete application.
3. Your Parent/Guardian must submit the Consent Form in order to have a complete application.