Job Interest Form

PERSONAL

First Name, Last Name
Phone Number
Email Address

Birthdate	,

Internship Accepted
Internship Name

ADDRESSES

Current Address Where do you live while attending school?
Street Address 1
Street Address 2
City, State, Zip	,

	I have a different shipping address

Shipping Address Where do you want any packages sent?
Street Address 1
Street Address 2
City, State, Zip	,

SCHOOL

School Name
Street Address 1
Street Address 2
City, State, Zip	,

NAMETAG

Please choose what information you want on your Disney nametag. The first line should be either your first name, or what you prefer to be called ("Matt" instead of "Matthew", for example). For your hometown, please enter your hometown's name followed by the two letter state abbreviation. If your hometown is not in the United States, please enter your hometown's name followed by the country's whole name.
MICKEY HOMETOWN, USA
First Name
Hometown

Notice - this image is not your official Disney nametag. Your actual nametag's design will be based on the location at which your internship will be fufilled, and may be edited for formatting, content, or other restrictions. This tool only exists to illustrate its general layout.

HOUSING

Limited housing is available on a first come, first serve basis. Please indicate below whether you are interested in Disney-sponsored housing:

Please note that management interns are not eligible to reside in Disney-sponsored housing.

I am currently living in Disney-sponsored housing (Vista Way/Chatham Square/Patterson Court/The Commons) and I would like to remain in housing.
I would like to request Disney-sponsored housing during my internship (and am not currently residing there).
I plan to find my own accommodations.

SUBMIT

I have contacted a recruiter to accept the offer.

How did you hear about us?
What other way, specifically?

Select the State
Select the City
Select the Name

	My school isn't in this list