AS 494 Internship Application
For viewing and printing purposes only. This form may not be submitted electronically.
Name _________________________________________________ |
Date ______________ |
| College | Address | ___________________________________________________________ |
| Phone | ___________________________ |
|
| Home | Address | ___________________________________________________________ |
| Phone | ___________________________ |
Major______________________ |
Minor_____________________ | Year in School_________ |
GPA Overall_________ |
GPA in Major_______ | Expected Graduation Date______________ |
Faculty Advisor ___________________________________________ |
Do you have a preference as to work locality?____________ |
If so, where? ________________ |
Do you have a preference as to which business or agency you would like to work for?_________ |
If so, please indicate:__________________________________________________________ |
When could you begin your internship experience?___________________________________ |
Significant Work Experience: |
| Names &: Location of Employers | Title &/or Description of Work | Dates Employed From . . . . . . To |
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Briefly explain below why you are interested in an internship experience and what you hope to gain from this experience.
Signature of Applicant _________________________________________________________
DO NOT WRITE BELOW THE DOTTED LINE
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| Date Application Received _____________ | By ___________________________________ |
Comments:
Internship Homepage || Internship Overview ||
AS 494 Intership -
Course Syllabus |
Last Modified: November 12, 1997