Internships - Indiana University East

Indiana University East

General Information
First Name
Last Name
Email Address
Phone Number (555-555-5555)
Address
City
State
Zip Code
Major
Year in School
Expected Graduation Date (mm/dd/yyyy)
Are you a full-time student?
Do you also have a part-time or full-time job?
Internship Start Date (mm/dd/yyyy)
Internship End Date (mm/dd/yyyy)
Interning Organization
Supervisor's Information
Name
Job Title
Email Address
Office Phone number (555-555-5555)
Work Address
City
State
Zip Code
Internship Information
Position Title
Job description
How many hours a week will you be interning?
What is your work schedule (days and times during the week)
Will credit hours be earned for the internship?
If so, how many?
Who is your faculty advisor?
What course number is the credit being earned under?
What semester will the course credit be designated?
Is the internship paid?
If paid hourly, how much?
If reimbursing tuition, how much?
When will you receive the reimbursement?
What are the reimbursement requirements?

Indiana University East