Intern Application Form Name* First Last Date of birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address* Phone (home) (include country/city codes)Phone (mobile) (include country/city codes)*Skype IDAre you a permanent Australian resident/citizen?*YesNoIf 'yes', please skip to 'Emergency Contact Details'Passport DetailsPlease complete the below if you answered 'No' to the previous question.Country of citizenshipPassport NumberCity of issueExpiry Date Date Format: DD dash MM dash YYYY First visit to AustraliaYesNoAre you eligible for a Working Holiday Visa 417 or 462YesNoIf you are unsure, visit http://www.immi.gov.au/Visas/Pages/417.aspx & http://www.immi.gov.au/Visas/Pages/462.aspxYour English language skillsLowIntermediateStrongFluentEmergency Contact DetailsTheir Name* First Last Relationship to you*Their phone number (include country/city codes)*Their Email* Details of InternshipDuration of full time internship (number of weeks)*Please enter a number less than or equal to 26.Note – Internship duration is usually a minimum of 12 weeks and maximum of 26 weeks. Some exceptions apply. Internship are full timeEarliest internship start date* Date Format: DD slash MM slash YYYY Latest possible internship start date* Date Format: DD slash MM slash YYYY In which industry would you like to complete your Internship?* Marketing Event Management Tourism Finance Communication Logistics Engineering Public Relations Human Resources Graphic/Web Design Information Technology Hospitality Education Fashion Online Marketing Media Social Work Administration Other Other FieldIf your industry of interest is not listed above, please provide hereIn which industry would you like to complete your Internship if your first choice is not available? Marketing Event Management Tourism Finance Communication Logistics Engineering Public Relations Human Resources Graphic/Web Design Information Technology Hospitality Education Fashion Online Marketing Media Social Work Administration Other Please provide a maximum of 3 preferences from the list below. Note – While we will make every effort to arrange an internship in your chosen industry, factors such as your education and experience as well as the current industry availability may affect successful placement.Other FieldIf your industry of interest is not listed above, please provide hereHave you completed, or are you completing a tertiary qualification in your requested field of Internship*YesNoRequested Internship Location* Flexible Sydney Melbourne Brisbane Gold Coast Perth Other Other LocationIf your requested location is not listed above, please provide hereYour expectations of the internship*Please provide brief details of what you want to achieve from your Internship and what skills you wish to gain. Please address this more comprehensively in the covering letter to your resume.Any additional information about your internship requestAdditional ServicesWill you be requiring assistance with finding accommodationNoYes - HomestayYes - Furnished Student PropertyYes - FlexibleWill you be requiring assistance with arranging an Airport TransferYesNoFees apply and further details can be found in 'Extra Services' on our websiteWill you be requiring assisitance arranging insuranceYesNoMedical InformationDo you have a health problem or disability which may affect your training as part of an Internship with a Host Organisation*YesNoIf 'Yes' to previous, please provide detailsDo you have any special requirements or require special equipment to perform your duties as part of an Internship with a Host Organisation*YesNoIf 'Yes' to previous, please provide detailsDo you have a health problem or disability that will require you to take medication during your Internship period*YesNoIf 'Yes' to previous, please provide detailsHave you had to stay in hospital due to a health problem or disability in the last 2 years*YesNoIf 'Yes' to previous, please provide detailsIf required by the Host Organisation, do you agree to attend a medical examination prior to commencing your Internship Program*YesNoPayment DetailsA deposit of $350 AUD is required before processing & placement begins. The balance of $640 AUD will be due following your confirmation of an internship offer. Please note that the deposit of $350 AUD is non-refundable once an Internship interview has been arranged. If Internships Down Under is unable to obtain an Internship interview, then a full refund of the deposit will be made by Internships Down Under. Payment can be made by bank transfer/internet banking. Please do not send cash. Please reference your payment with your family name. Payment details (if paying from overseas) 1. register and log in to: https://internshipsdownunder.transfermateeducation.com/ 2.Complete the “Process Payments” 3. Transfer the converted amount to the bank details provided by the website. If paying by International bank transfer/internet banking, please add $20AUD to cover International transfer fees and make payment to: Account Name: Sydney Internships Pty Ltd BSB: 032 051 Account Number: 168 280 Swift Code: WPACAU2S Bank Name & Address: Westpac (Bondi Junction) UPON PAYMENT BEING RECEIVED IN ACCORDANCE WITH THE ABOVE, INTERNSHIPS DOWN UNDER WILL SEND YOU A RECEIPT OF PAYMENT AND COMMENCE THE PROCEDURE FOR ARRANGING YOUR INTERNSHIP.ACKNOWLEDGEMENTTerms & Conditions* I have read, understood & agree to the Requirements & Terms & Conditions CV / Resume Upload*Cover Letter / Motivation Letter Upload*Professional Photo UploadColour photo of yourself taken not more than 6 months previous.