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INTERNSHIP - Intrax

INTERNSHIP - Intrax

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Student InformationInternational Internship Program: ApplicationStudent Name:First Middle LastGender:MaleFemaleBirth Date:D M YHome Address:Street City Zip CodeStateHome Phone:Email address:CountryCell phone:Sykpe ID:City of Birth:Country of Birth:Country of Citizenship:Emergency Contact:Legal Residence:First Name Last Name RelationshipEmail address Home Phone Cell PhoneHow did you hear about <strong>Intrax</strong>:Educational BackgroundEnglish Level:Result from the online English test www.testpodium.com Level 2, free of chargeLevel of the internship language (self-assessment): 0 (no skills) 1 2 3 4 5 (fluent)University Students: Field of Study:Years of Study:Graduation Date:Professionals: Field of Industry:Internship InformationYears of Experience:Earliest Start Date:Internship Duration:Latest End Date:Desired Location:Desired Internship Field:Work Experience:Language Course before Internship: Yes No<strong>Intrax</strong> France, 10 Square Adanson, 75005 Paris, FranceTél : +33 1 45 35 75 74 | Fax: +33 1 73 76 90 43 | info@intrax.fr | www.intrax.fr<strong>Intrax</strong> France est sous la responsabilité du bureau <strong>Intrax</strong> européen appelé Ayusa-<strong>Intrax</strong> GmbHManaging Director: Martin Vogt | Registration Number HR B 65283, District Court Berlin-Charlottenburg | VAT ID: DE 189128751

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