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Application

How to Apply
After you've determined if you have fulfilled the internship requirements and met with the Internship Coordinator, complete an application form. You will be registered for your internship only after it is approved and the application form is completed.

Download and Print Application
You will need Adobe Acrobat Reader to acquire this form online.

Online Application
Fill out form and submit to the Internship Coordinator before registering for the internship. Internship is a controlled class. You must turn in this form before registering.

Provide previously unknown details as soon as possible after the internship begins. We need to know your starting and ending dates, hours, and duties. The School will write to your internship supervisor confirming this information.


Register # Hrs
Semester
Your Catalog Year
Last Name
 
First Name
Middle Initial
Banner ID#
(ex: 810XXXXXX)
  
Major
 Current GPA
Total hrs. at end of semester

Current Internship Info
Is this a paid internship?
Company Name
Semester
Internship Business Address (Street)
City
State
 Zip
Phone
Fax
Supervisor
 Last Name First Name
Supervisor Title/Job Description
  
Supervisor
e-mail
Internship Starting/Ending dates
Hours to be worked per week
  
Describe major duties

Student information
Home Address (During Internship)
   
City
State
 Zip
Home Phone# (During Internship)
Office Phone# (During Internship)
Email Address
  
Permanent Home Address
City
State
 Zip

JMC Courses Completed (note with * current semester’s courses)
Course Name
Course Number

Student acknowledges report requirements