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General Information
First Name
Last Name
Email Address
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Address
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Major
Year in School
Select One
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Sophomore
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Expected Graduation Date
(mm/dd/yyyy)
Are you a full-time student?
Select One
Yes
No
Do you also have a part-time or full-time job?
Select One
Full-Time
Part-Time
None
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
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AR
CA
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HI
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OH
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OR
PA
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SD
TN
TX
UT
VT
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WA
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WI
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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?
Select One
Yes
No
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?
Select One
Yes
No
If paid hourly, how much?
If reimbursing tuition, how much?
When will you receive the reimbursement?
What are the reimbursement requirements?
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