Design Internship Program Application Student First Name(Required) Preferred Name Student Last Name(Required) Street Address(Required) City(Required) State(Required)WisconsinZip Code(Required) Student Email(Required)NOTE: If you are a student in Milwaukee Public Schools (MPS), please DO NOT use your MPS student email address. We are unable to contact you through MPS email. Cell Phone(Required)High School(Required) Graduation Year(Required)20252026202720282029Date of Birth MM slash DD slash YYYY Gender Identity(Required)Agender/UngenderedCisgenderFemaleMaleNon-binaryTransgenderNot listed/Prefer not to answerDo you identify as Latinx or Hispanic?(Required) Yes No Please select one or more of the following ethnic/racial categories to describe yourself:(Required) Indigenous or Native American Asian, Pacific Islander or Desi American Black or African American Latinx or Hispanic White or European American Parent/Guardian Name(Required) Parent/Guardian Email(Required) Parent/Guardian Primary Phone(Required)Parent/Guardian Work Phone(Required)Household Size & Income Information(Required)Please enter your household size. Your household size is the total number of people, including all children and adults, related and un-related, that live in a single dwelling and share income and expenses. This information is confidential and does not influence the selection process. As a program supported by grants and donors, this information is used for reporting purposes to provide accurate demographic information.123456789 or moreIncome Range(Required)Please select your household yearly income range. Make sure to include all of the following income sources: work, welfare, child support, alimony, pensions, retirement, Social Security, SSI, VA benefits, child income and/or all other income. The amount should be before any deductions for taxes, insurance, medical expenses, child support, etc. This information is confidential and does not influence the selection process. As a program supported by grants and donors, this information is used for reporting purposes to provide accurate demographic information. $0 to $26,973 $26,974 to $36,482 $36,483 to $45,991 $45,992 to $55,500 $55,501 to $65,009 $65,010 to $74,518 $74,519 to $84,027 $84,028 to $93,536 $93,537 or more Do you plan to attend MIAD's Summer Pre-College program?(Required)The yearlong Design Internship includes free tuition to MIAD's Summer Pre-College program in July. Students may apply early to the Summer Pre-College program, but Pre-College registration support will be offered at the February 15th Information Session. Yes No Do you have availability to complete the Design Internship component of the program in June 2025?(Required)All internships are approximately 50 hours and are offered June 16 – 27 or June 16 – July 10. Yes No What areas of design most interest you?(Required)Check all that apply. Advertising/Branding Apparel Design Architecture Graphic Design Product Design Please tell us what excites you most about design and this internship opportunity.(Required)Please be thoughtful and thorough in your response. Responses will be used to determine acceptance into the Design Internship program. Δ