* Are you lawfully authorized to work in the United States?:

Yes   No

* Will you need sponsorship at any point in the future to maintain lawful employment in the United States?:

Yes   No

* Have you ever been convicted of a felony or a misdemeanor? (A conviction will not necessarily result in the denial of employment):

Yes   No

If Yes, please explain:

 

* Have you ever interviewed with Belvedere Trading before?:

Yes   No

If Yes, please provide details (Where/When/Job Title):

* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes   No

If no, please explain:

* When would you be available to begin work?:

* Type of employment desired:

Full-Time Internship

* Hourly rate/salary desired:

* Are you currently employed?:

Yes   No

If so may we inquire of your present employer?:

Yes   No

If presently employed, why are you considering leaving?:

* Please select your highest level of education:

High SchoolCollegeMastersPhD

For your highest level of education, please give the following information:

* Name of school:

ACCIS UniversityAdelphi UniversityAgnes Scott CollegeAIU OnlineAlabama Southern Community CollegeAlbert Magnus CollegeAlexandria Technical College Allegheny CollegeAmerican Graduate School of ManagementAmerican UniversityAmherst CollegeAnthem College OnlineArizona State UniversityAshford UniversityAtlanta Technical College Auburn UniversityAugustana CollegeAurora UniversityAzusa Pacific UniversityBaker College OnlineBall State UniversityBarat CollegeBard CollegeBarnard CollegeBarton County Community College Bates CollegeBaylor UniversityBellarmine UniversityBeloit CollegeBenedictine UniversityBennington CollegeBethany CollegeBinghamton University-State University of New YorkBiola UniversityBirmingham-Southern CollegeBlackburn CollegeBoston CollegeBoston UniversityBoston University {Metorpolitian}Bowdoin CollegeBowling Green State UniversityBradley UniversityBrandeis UniversityBrigham Young University-ProvoBrown CollegeBrown UniversityBryn Mawr CollegeBucknell UniversityCalifornia Institute of TechnologyCALU of PennsylvaniaCapella UniversityCardean UniversityCarleton CollegeCarnegie Mellon UniversityCarolinas College of Health Sciences Carroll UniversityCarson-Newman CollegeCase Western Reserve UniversityCatholic University of AmericaCentenary College of LouisianaCentral Carolina Community College Centre CollegeChicagoChicago State UniversityChippewa Valley Technical College Claflin UniversityClaremont McKenna CollegeClark UniversityClarke CollegeClarkson UniversityClemson UniversityCleveland Community College Coe CollegeColby CollegeColgate UniversityCollege of DuPageCollege of IdahoCollege of the Holy CrossCollege of William and MaryCollege of WoosterColorado CollegeColorado School of MinesColorado State UniversityColorado Technical UniversityColumbia CollegeColumbia UniversityConcord Law SchoolConcordia University-River ForestConnecticut CollegeConverse CollegeCooper UnionCornell CollegeCornell UniversityCorning Community College Covenant CollegeDartmouth CollegeDavidson CollegeDe Anza College Denison UniversityDePaul UniversityDePauw UniversityDeVry Institute of Technology - DuPageDevry UniversityDickinson CollegeDoane CollegeDominican UniversityDrew UniversityDrexel UniversityDuke UniversityDuquesne UniversityEarlham CollegeEast Carolina UniversityEastern Illinois UniversityEast-West UniversityEckerd CollegeeCornellEdgewood CollegeEdwardsvilleEllis CollegeEllis MBAElmhurst CollegeEmory and Henry CollegeEmory UniversityErikson InstituteErskine CollegeEureka CollegeEverest College OnlineFlorida Institute of TechnologyFlorida Southern CollegeFlorida State UniversityFMU OnlineFordham UniversityFrank Phillips College Franklin and Marshall CollegeFurman UniversityGeorge Fox UniversityGeorge Mason UniversityGeorge Washington UniversityGeorgetown UniversityGeorgia Institute of TechnologyGeorgia Military College, MilledgevilleGonzaga UniversityGoshen CollegeGovernors State UniversityGreen River Community College Greenville CollegeGrinnell CollegeGustavus Adolphus CollegeHalifax Community College Hamilton CollegeHamline UniversityHampden-Sydney CollegeHampshire CollegeHanover CollegeHarvard UniversityHarvey Mudd CollegeHaverford CollegeHawaii Community CollegeHazard Community and Technical College Hendrix CollegeHerzing CollegeHesston College Hobart and William Smith CollegesHofstra UniversityHollins UniversityHope CollegeHoughton CollegeHoward UniversityHuntington UniversityIllinois CollegeIllinois Institute of TechnologyIllinois State UniversityIllinois Wesleyan UniversityImmaculata UniversityIndiana University-BloomingtonIowa Central Community College - OnlineIowa State UniversityItasca Community College IWU OnlineJames Madison UniversityJohn Carroll UniversityJohns Hopkins UniversityJones International University OnlineJudson CollegeJuniata CollegeKalamazoo CollegeKansas State UniversityKaplan UniversityKeiser UniversityKeller Graduate School of ManagementKendall CollegeKennedy Western UniversityKent State UniversityKenyon CollegeKnox CollegeLafayette CollegeLake City Community College Lake Forest CollegeLake Forest CollegeLakeview College of NursingLawrence UniversityLawson State Community College Lebanon Valley CollegeLeech Lake Tribal College Lehigh UniversityLewis and Clark CollegeLewis UniversityLincoln Christian College SeminaryLincoln Technical InstituteLouisiana State University-Baton RougeLouisiana Tech UniversityLoyola University ChicagoLuther CollegeLyon CollegeMacalester CollegeMacMurray CollegeMarietta CollegeMarlboro CollegeMarquette UniversityMaryville CollegeMaryville University of St. LouisMassachusetts Institute of TechnologyMaster's College and SeminaryMayland Community College Maysville Community and Technical College McKendree CollegeMiami University-OxfordMichigan State UniversityMichigan Technological UniversityMiddlebury CollegeMidwestern UniversityMillikin UniversityMills CollegeMillsaps CollegeMinnesota SchoolMinnesota West, PipestoneMississippi CollegeMississippi State UniversityMonmouth CollegeMonroe Community College Montana State UniversityMoody Bible InstituteMorgan Community College Mount Holyoke CollegeMSCTC, Fergus Falls Muhlenberg CollegeNational American UniversityNational Institute of TechnologyNational-Louis UniversityNebraska Wesleyan UniversityNew College of FloridaNew Jersey Institute of TechnologyNew Mexico State University, GrantsNew York UniversityNorth Carolina State University-RaleighNorth Central CollegeNorth Central Missouri CollegeNorth Country Community College North Dakota State UniversityNorth Florida Community CollegeNorth Park College andTheological SeminaryNorthampton Community College Northeastern Illinois UniversityNortheastern UniversityNorthern Illinois UniversityNorthwestern UniversityNorwich UniversityNova Southeastern UniversityOberlin CollegeOhio State University-ColumbusOhio UniversityOhio Wesleyan UniversityOklahoma Baptist UniversityOklahoma State UniversityOklahoma Wesleyan UniversityOlivet Nazarene UniversityOregon State UniversityOtterbein CollegePace UniversityPacific UniversityPatrick Henry Community College Penn Foster Career SchoolPennsylvania State University-University ParkPepperdine UniversityPitzer CollegePolytechnic Institute of New York UniversityPomona CollegePost UniversityPresbyterian CollegePrinceton UniversityPrincipia CollegeProfessional Career Development InstitutePurdue University-West LafayetteQuincy UniversityRandolph CollegeRandolph-Macon CollegeReed CollegeRensselaer Polytechnic InstituteRhodes CollegeRice UniversityRipon CollegeRoanoke CollegeRobert Morris CollegeRockford CollegeRockies OnlineRoosevelt UniversityRowan-Cabarrus Community College Rush UniversityRutgers, the State University of New Jersey-New BrunswickRutgers, the State University of New Jersey-NewarkSaint Anthony College of NursingSaint Leo UniversitySaint Paul College Salem CollegeSalem International UniversitySamford UniversitySan Diego State UniversitySarah Lawrence CollegeSchool of the Art Institute of ChicagoScripps CollegeSeton Hall UniversitySewanee University of the SouthSeward County Community College/Area Technical School Shimer CollegeSkagit Valley College Skidmore CollegeSmith CollegeSouth Carolina State UniversitySouth Dakota State UniversitySouth UniversitySoutheast Kentucky Community and Technical CollegeSouthern Illinois University at CarbondaleSouthern Illinois University SystemSouthern Illinois University System at SpringfieldSouthern Illinois University-CarbondaleSouthern Methodist UniversitySouthern West Virginia Community and Technical CollegeSouthwestern Community College Southwestern Indian Polytechnic Institute Southwestern UniversitySpelman CollegeSpertus Institute of Jewish StudiesSpring Hill CollegeSt. Anselm CollegeSt. John Fisher CollegeSt. John’s UniversitySt. John's CollegeSt. Joseph's CollegeSt. Louis UniversitySt. Mary’s University of MinnesotaSt. Mary's College of CaliforniaSt. Mary's College of MarylandSt. Norbert CollegeSt. Olaf CollegeSt. UniversityStanford UniversityStetson UniversityStevens Institute of TechnologyStony Brook University-SUNYStrayer UniversitySUNY College of Environmental Science and ForestrySUNY, BinghamtonSUNY, Environmental Science and ForestrySwarthmore CollegeSweet Briar CollegeSyracuse UniversityTacoma Community College Temple UniversityTexas A&M University-College StationTexas Christian UniversityTexas State Technical College, WacoTexas State Technical College, West TexasTexas Tech UniversityThe Art Institute OnlineThe Chicago School ofProfessional PsychologyThe CitadelThe New SchoolThomas Aquinas CollegeThomson Education DirectTransylvania UniversityTrinity Christian CollegeTrinity CollegeTrinity International UniversityTrinity UniversityTufts UniversityTulane UniversityUmpqua Community College Union CollegeUnited States Air Force AcademyUnited States Coast Guard AcademyUnited States Military AcademyUnited States Naval AcademyUniversity at Albany-SUNYUniversity at Buffalo-SUNYUniversity of AlabamaUniversity of Alabama-BirminghamUniversity of Alabama-HuntsvilleUniversity of ArizonaUniversity of ArkansasUniversity of California, BerkeleyUniversity of California, Los AngelesUniversity of California, Santa BarbaraUniversity of California-BerkeleyUniversity of California-DavisUniversity of California-IrvineUniversity of California-Los AngelesUniversity of California-RiversideUniversity of California-San DiegoUniversity of California-Santa BarbaraUniversity of California-Santa CruzUniversity of Central FloridaUniversity of ChicagoUniversity of CincinnatiUniversity of Colorado-BoulderUniversity of Colorado-DenverUniversity of ConnecticutUniversity of DaytonUniversity of DelawareUniversity of DenverUniversity of FloridaUniversity of GeorgiaUniversity of Hawaii-ManoaUniversity of IdahoUniversity of IllinoisUniversity of Illinois at Urbana-ChampaignUniversity of Illinois-ChicagoUniversity of IowaUniversity of KansasUniversity of KentuckyUniversity of La VerneUniversity of LiverpoolUniversity of LouisvilleUniversity of MaineUniversity of Mary WashingtonUniversity of Maryland-Baltimore CountyUniversity of Maryland-College ParkUniversity of Massachusetts-AmherstUniversity of Massachusetts-LowellUniversity of MiamiUniversity of Michigan, Ann ArborUniversity of Michigan-Ann ArborUniversity of Minnesota-Twin CitiesUniversity of MississippiUniversity of MissouriUniversity of Missouri-Kansas CityUniversity of MontanaUniversity of Nebraska-LincolnUniversity of Nevada-RenoUniversity of New HampshireUniversity of New MexicoUniversity of North Carolina-Chapel HillUniversity of North Carolina-CharlotteUniversity of North Carolina-GreensboroUniversity of North DakotaUniversity of Notre DameUniversity of OklahomaUniversity of OregonUniversity of PennsylvaniaUniversity of PittsburghUniversity of Puget SoundUniversity of Rhode IslandUniversity of RichmondUniversity of RochesterUniversity of San DiegoUniversity of San FranciscoUniversity of South CarolinaUniversity of South DakotaUniversity of South FloridaUniversity of Southern CaliforniaUniversity of St. ThomasUniversity of TennesseeUniversity of Texas-AustinUniversity of Texas-DallasUniversity of the PacificUniversity of TulsaUniversity of UtahUniversity of VermontUniversity of VirginiaUniversity of VirginiaUniversity of WashingtonUniversity of Wisconsin-MadisonUniversity of WyomingUtah State UniversityUTICA CollegeVanderbilt UniversityVassar CollegeVermilion Community College Virginia CollegeVirginia Commonwealth UniversityVirginia Military InstituteVirginia TechWabash CollegeWake Forest UniversityWalden UniversityWarren Wilson CollegeWashington and Jefferson CollegeWashington and Lee UniversityWashington CollegeWashington County Community College District Washington State UniversityWashington University in St. LouisWellesley CollegeWells CollegeWesleyan CollegeWesleyan UniversityWest Hills College, NDC West Virginia UniversityWestern Governors CollegeWestern Illinois UniversityWestern Michigan UniversityWestern Wyoming Community CollegeWestminster CollegeWestwood CollegeWheaton CollegeWhitman CollegeWhitworth CollegeWidener UniversityWilliams CollegeWisconsin Indianhead Technical CollegeWisconsin Lutheran CollegeWofford CollegeWorcester Polytechnic InstituteYale UniversityYeshiva UniversityOther (please specify below)

If Other, please specify:

* Major:

* Graduation Date:

JanFebMarAprMayJunJulAugSepOctNovDec *2020201920182017201520162014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990

In this space, please list any other certifications you have received:

* Have you or do you currently hold any FINRA or other Exchange registrations?:

Yes   No

If yes, please list registrations here.:

Name	Relationship	Phone Number	May We Contact?
			Yes No
			Yes No
			Yes No

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):

* Date: