Deadline: September 30, 2012
Please complete the following information based on the current school year. All applicants must be full-time students enrolled at a fouryear institution to be eligible. Deadline for submission of this application, including resume, should be post marked no later than September 30, 2012.
Be sure to verify that your institution has properly and fully completed the bottom portion of this form. Note: Spouse and children of Xerox employees
are not eligible for this program. NO APPLICATION WILL BE PROCESSED WITHOUT APPLICANT RESUME ATTACHED.
Please forward completed form to:
150 State Street; 4th Floor; Rochester, NY 14614