Internships - Indiana University East

Indiana University East

Internships at IU East: Student Interest Form

Student Name
Address (Str. address, state, zip)
Phone (555-555-5555)
Alternate Phone
E-Mail
Date of Birth
School or Major
Credit Hours Completed
Class
Expected Graduation Date
Accumuative GPA
Briefly describe your future career goals and areas of interest for an internship experience:
List any school and/or community activities, honors, special skills relevant to your area of interest for an internship:
List completed coursework or previous work experience relevant to this area of interest:
If you have located an internship on your own, please complete:
Name of Agency / Organization
Street Address
City
State
ZIP
Site Supervisor
Phone

The Office of Business Development Opportunities Program will keep this form on file. It is a students responsibility to frequently check available internships and to notify Patty Crawford at the Office of Business Development Opportunities Program of their interest in applying for a specific internship position.