First
Last
 
   
 
Mailing Address
    City
State
Zip
    Home Phone
Cell Phone
Email Address
 
 

Please note that you must have the full support from your adviser in order to be eligible to apply. They must be willing to support transportation, permission slips, waivers, and other special requirements that may be necessary in order to fulfill your duties, should you be selected. In addition, the selected student must be a registered attendee for the conference.

Check here to affirm that you have discussed this opportunity with your adviser and they have agreed to endorse you

I understand that the production internship likely begins prior to the first day of the event to support setup. This is mandatory and the best part of the internship. I understand I will be expected to join Cybis on the morning of the first day listed above. By checking here, I acknowledge I have also confirmed this with my adviser.

    School Name
Adviser Name
    Adviser School Phone
Adviser Home/Cell Phone
Adviser Email Address
 
    Organization Membership:



School Year:



GPA:
 
 
   
Please list any state or national conferences you have previously attended:
    Please list and explain any relevant job experience:
    Please indicate any events that you will be participating or competing in at this conference:
Please rate your experience in each of the following areas (1=no experience, 5=expert):
1
2
3
4
5
 

 

  Event Planning  
  Lighting/Stage Design  
  Video Editing  
  Stage Directing  
  Studio Cameras  
  Motion Graphics  
  Still Graphic Design  
  Audio Production  
   
What do you hope to gain through this internship opportunity and how does it relate to your career goals:
   
Final thoughts? If you have an online resume or portfolio, please include its address here. (optional)