*your name (first & last):

*your phone (home):

your phone (cell):

*your email:

*permanent street address 1:

permanent street address 2:

*city:

*state:

*zip:

website:

name/location of school:

dates:

diplomas/degrees:

grade point average:

date of birth (mm/dd/yyyy):

gender:

household income:

household type:

parents' highest level of education:

areas of interest (check all that apply):

special awards/recognition:

extracurricular activities:

what specific skills and experience do you believe you can contribute to Buzz MG:

what do you hope to gain from this experience:

please discuss which department of Buzz Mg you would like to work in (i.e. fashion & beauty, sports & entertainment, toys, games & technology, community & lifestyles) the most and why:

please list three goals you would like to accomplish while working with Buzz Mg:

were you referred to us by anyone:

upload your photo (max 1MB, jpg only):