<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> [an error occurred while processing this directive] <% ' *** Edit Operations: declare variables Dim MM_editAction Dim MM_abortEdit Dim MM_editQuery Dim MM_editCmd Dim MM_editConnection Dim MM_editTable Dim MM_editRedirectUrl Dim MM_editColumn Dim MM_recordId Dim MM_fieldsStr Dim MM_columnsStr Dim MM_fields Dim MM_columns Dim MM_typeArray Dim MM_formVal Dim MM_delim Dim MM_altVal Dim MM_emptyVal Dim MM_i MM_editAction = CStr(Request.ServerVariables("SCRIPT_NAME")) If (Request.QueryString <> "") Then MM_editAction = MM_editAction & "?" & Server.HTMLEncode(Request.QueryString) End If ' boolean to abort record edit MM_abortEdit = false ' query string to execute MM_editQuery = "" %> <% ' *** Insert Record: set variables If (CStr(Request("MM_insert")) = "form1") Then MM_editConnection = MM_internConn_STRING MM_editTable = "internshipapplication" MM_editRedirectUrl = "http://www.dcte.udel.edu/ncatesurveys/thankyou.asp" MM_fieldsStr = "name|value|password|value|homestreet|value|homecity|value|homestate|value|homezip|value|hometelephone|value|email|value|localstreet|value|localcity|value|localstate|value|localzip|value|localtelephone|value|currentEmployerName|value|currentEmployerAddress|value|jobTitlePosition|value|subjectsGradelevels|value|InternArea|value|internSemester|value|MPCP|value|firstchoiceDistrict|value|firstchoiceSchool|value|firstchoiceGrade|value|secondchoiceDistrict|value|secondchoiceSchool|value|secondchoiceGrade|value|lengthOfInternship|value|graduateGPA|value|majorGPA|value|praxis1R|value|praxis1W|value|praxis1M|value|extenuatingCircumstances|value|extenuatingCircumstancesExplanation|value|workingRelativeName|value|workingRelativeOfficeBuilding|value|workingRelativeJobTitle|value|workingRelativeRelationship|value|attendingRelativeSchool|value|attendingRelativeGrade|value|attendingRelativeRelationship|value|workExperienceOrganization|value|workExperienceJobTitlePosition|value|workExperienceLengthOfAssignment|value|workExperienceAgeGroup|value|workExperienceDescription|value|workExperienceAddtional|value|volunteerOrganization|value|volunteerJobTitlePosition|value|volunteerLengthOfAssignment|value|volunteerAgeGroup|value|volunteerDescription|value|volunteerAddtional|value" MM_columnsStr = "name|',none,''|password|',none,''|homestreet|',none,''|homecity|',none,''|homestate|',none,''|homezip|',none,''|hometelephone|',none,''|email|',none,''|localstreet|',none,''|localcity|',none,''|localstate|',none,''|localzip|',none,''|localtelephone|',none,''|currentEmployerName|',none,''|currentEmployerAddress|',none,''|jobTitlePosition|',none,''|subjectsGradelevels|',none,''|InternArea|',none,''|InternSemester|',none,''|MPCP|',none,''|firstchoiceDistrict|',none,''|firstchoiceSchool|',none,''|firstchoiceGrade|',none,''|secondchoiceDistrict|',none,''|secondchoiceSchool|',none,''|secondchoiceGrade|',none,''|lengthOfInternship|',none,''|graduateGPA|',none,''|majorGPA|',none,''|praxis1R|',none,''|praxis1W|',none,''|praxis1M|',none,''|extenuatingCircumstances|',none,''|extenuatingCircumstancesExplanation|',none,''|workingRelativeName|',none,''|workingRelativeOfficeBuilding|',none,''|workingRelativeJobTitle|',none,''|workingRelativeRelationship|',none,''|attendingRelativeSchool|',none,''|attendingRelativeGrade|',none,''|attendingRelativeRelationship|',none,''|workExperienceOrganization|',none,''|workExperienceJobTitlePosition|',none,''|workExperienceLengthOfAssignment|',none,''|workExperienceAgeGroup|',none,''|workExperienceDescription|',none,''|workExperienceAddtional|',none,''|volunteerOrganization|',none,''|volunteerJobTitlePosition|',none,''|volunteerLengthOfAssignment|',none,''|volunteerAgeGroup|',none,''|volunteerDescription|',none,''|volunteerAddtional|',none,''" ' create the MM_fields and MM_columns arrays MM_fields = Split(MM_fieldsStr, "|") MM_columns = Split(MM_columnsStr, "|") ' set the form values For MM_i = LBound(MM_fields) To UBound(MM_fields) Step 2 MM_fields(MM_i+1) = CStr(Request.Form(MM_fields(MM_i))) Next ' append the query string to the redirect URL If (MM_editRedirectUrl <> "" And Request.QueryString <> "") Then If (InStr(1, MM_editRedirectUrl, "?", vbTextCompare) = 0 And Request.QueryString <> "") Then MM_editRedirectUrl = MM_editRedirectUrl & "?" & Request.QueryString Else MM_editRedirectUrl = MM_editRedirectUrl & "&" & Request.QueryString End If End If End If %> <% ' *** Insert Record: construct a sql insert statement and execute it Dim MM_tableValues Dim MM_dbValues If (CStr(Request("MM_insert")) <> "") Then ' create the sql insert statement MM_tableValues = "" MM_dbValues = "" For MM_i = LBound(MM_fields) To UBound(MM_fields) Step 2 MM_formVal = MM_fields(MM_i+1) MM_typeArray = Split(MM_columns(MM_i+1),",") MM_delim = MM_typeArray(0) If (MM_delim = "none") Then MM_delim = "" MM_altVal = MM_typeArray(1) If (MM_altVal = "none") Then MM_altVal = "" MM_emptyVal = MM_typeArray(2) If (MM_emptyVal = "none") Then MM_emptyVal = "" If (MM_formVal = "") Then MM_formVal = MM_emptyVal Else If (MM_altVal <> "") Then MM_formVal = MM_altVal ElseIf (MM_delim = "'") Then ' escape quotes MM_formVal = "'" & Replace(MM_formVal,"'","''") & "'" Else MM_formVal = MM_delim + MM_formVal + MM_delim End If End If If (MM_i <> LBound(MM_fields)) Then MM_tableValues = MM_tableValues & "," MM_dbValues = MM_dbValues & "," End If MM_tableValues = MM_tableValues & MM_columns(MM_i) MM_dbValues = MM_dbValues & MM_formVal Next MM_editQuery = "insert into " & MM_editTable & " (" & MM_tableValues & ") values (" & MM_dbValues & ")" If (Not MM_abortEdit) Then ' execute the insert Set MM_editCmd = Server.CreateObject("ADODB.Command") MM_editCmd.ActiveConnection = MM_editConnection MM_editCmd.CommandText = MM_editQuery MM_editCmd.Execute MM_editCmd.ActiveConnection.Close If (MM_editRedirectUrl <> "") Then Response.Redirect(MM_editRedirectUrl) End If End If End If %> Internship Application Form
University of Delaware Internship Application

Please fill out the form below and submit a paper copy. You will then be able to take the relevant printouts.

Some fields require description/explanation/listings. The max character limit is 255. If you need
more space then please type out the response in the word document and indicate clearly to which
field the response belongs to. Attach this word document with the printouts of your application.

Name:(Lastname, Firstname Middle Initial):
Choose your password (required to get the printout of this form which you have to sign and submit):

 
Home Address
Street:
City:
State:
Zip:
Home Telephone Number:

 
E-mail Address:

 
Local Address
Street:
City
State:
Zip:
Local Telephone Number:
   
Current Employer
  
Name:
Address:
Job Title / Position:
If teaching, list subject(s) and grade level(s):
   
Select the area in which you expect to intern. All internship experiences are at least a semester long. Students in half-day internships must intern for a minimum of a full school year.

Please select the semester and year of internship.
Are you in the MPCP program (Masters Plus Certification Program)?

 
Preference for Internship Placement
 
 
First Choice
 
District:
School:
Grade Level:
 
Second Choice
  
District:
School:
Grade Level:
 

Please specify the length of your internship:
Please specify your test scores
  
Overall graduate GPA (for all courses taken):
GPA in major:
Praxis I R:
Praxis I W:
Praxis I M:
 

Are there any extenuating circumstances or information we should know about in regard to your internship semester/year? (These "extenuating circumstances" include courses taken while interning, jobs, home conditions, etc)

If "yes" write an explanation:
 
If you currently have any relatives working in the district where you will be interning, please indicate where they are working.
Name:
Office/Building:
Job Title:
Relationship:
 
 
If you currently have any relatives attending school in the district where you will be interning, please indicate where they are working.
School:
Grade:
Relationship:
 
Please list any work experience(s) you have had with children/youth. Add additional listings as needed.
Organization:
Job Title / Position:
Length of Assignment:
Age Group:
Description of your work with children / youth:
Additional Listings:
 
Please list any volunteer experience(s) you have had with children/youth. Add additional listings as needed.
Organization:
Title / Position:
Length of Assignment:
Age Group:
Description of your work with children / youth:
Additional Listings: