STATE OF NEW JERSEY
MOTION PICTURE AND TELEVISION COMMISSION

Student Internship Application

Name

Mailing Address

City, State Zip

-

Phone

College / University

Faculty Advisor

Faculty Advisor Phone/Ext

Major Field of Study

Minor

College Credits Completed To Date

-

Film/TV courses taken to date ( list title, credits and grade )

Films/videotapes produced ( list title, length and your role )

Other relevant experience or special skills

Your career objectives
Use this text area for any additional comments, questions, or references you would like us to know about.

Please have faculty advisor comments and signature sent under separate cover

Print Out & Mail To:

David W. Schoner, Jr.
Production Coordinator
New Jersey Motion Picture and Television Commission
153 Halsey Street - 5th Floor
P.O. Box 47023
Newark, NJ 07101