Emerging Leaders Student Application


NOTE: This internship program is specifically designed for undergraduate and graduate students with disabilities.

Question - Required - *To qualify for application, you must:
Please make at least 4 selections from the choices below.


NOTE: *All five boxes must be checked for application to be considered.

Question - Required - How did you hear about the Emerging Leaders Program? (Please check all that apply):


(Maximum response 255 chars, approx. 5 rows of text)


General Information





Current Address










NOTE: This e-mail address information is necessary for NBDC to keep EL candidates and alum updated on valuable employment related opportunities from Fortune 1000 corporate partner offers)


(Maximum response 255 chars, approx. 5 rows of text)


School Information


(Maximum response 255 chars, approx. 5 rows of text)







Question - Required - Expected Graduation Date:


(Maximum response 255 chars, approx. 5 rows of text)


NOTE: Corporate partners have offices throughout the country; by limiting your geographical availability, it might decrease your chances of obtaining an internship if outside your limitations.


Choose Internship period

Question - Required - This section allows you to choose which periods of the year you would like the participating corporate partners to consider you for potential internship offers that they may provide beyond the summer. (Please check all that apply):

Question - Required - Are you a Veteran?


Demographic Information 

NOTE: Information from the following two questions is used for internal purposes only and will not be shared with potential employers.

Question - Required - Gender

Question - Required - Race




A letter of recommendation is NOT required, but may be considered by the Selection Committee. Letters should be from a professional or academic source.


Terms and Conditions*

By submitting your application, you are agreeing to promptly and appropriately respond to all communications from the Emerging Leaders team as well as from potential employers. Emerging Leader applicants are expected to maintain continued contact with Emerging Leaders team on their status throughout the program – including any internship interviews or offers with potential employers.

Applications are processed on a rolling basis as they are received. You are strongly encouraged to apply as soon as possible for any internship period. Do not delay in submitting your application.

There will be multiple announced phone conferences being offered throughout the program whereby you will have the opportunity to receive additional information about the program, ask questions about the program, and discuss internship experiences with other candidates involved in the program.  Please make every effort to participate in one or more so that you may obtain the most beneficial experience during the internship.

31. E-Mail Address where confirmation should be sent:



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Question - Required - I accept the terms and conditions above.

   Please leave this field empty