Student Internship Interest Form General InformationName(Required) First Last Student ID Email(Required) Enter Email Confirm Email Phone(Required)Major/Program(Required)Intended Internship Semester(Required)SummerFallSpringYear(Required)Days Available(Required) Monday Tuesday Wednesday Thursday Friday Time(Required) AM PM Opportunities(Required) Accounting Administrative Services Criminal Justice Customer Service Early Care, Education, & Family Studies Energy Technology General Business Industrial Health & Safety Management Other Select AllOpportunities OtherPlease describeAdditional InformationEXPERIENCEIdentify any job experience that you have which relates to the internship you are pursuingEDUCATIONI’ve completed the required coursework for an internship in the area indicated above.INTERNSHIP GOALSIdentify your internship goalsCAREER GOALSIdentify your career goalsSubmission confirmationAcademic Standing Acknowledgement I am in good academic standings. I could obtain a faculty recommendation. Do you know a faculty member who would recommend you to an internship) I would be willing to participate in the pre-internship work shopsSignature
