Date: Your name:

Internship title :

Where is the internship?

Organization sponsoring the internship:

Street Address:

City: State: Zip:

Who will supervise the intern?

Internship supervisor name:

Title:

Office Address:

Office Telephone:

City: State: Zip:

e-mail address:

When is the internship?

Semester of Internship:

start date: end date:

Note: fall semester = 8/27 - 12/14; spring semester = 1/16 - 5/4; summer semester = 5/21 - 8/15

Please explain how many interns you are looking for and if you are looking for interns for multiple semesters. (Is this a one-time or a continuing internship? How many interns are you willing to take per semester?)

Paid or unpaid: # hours/week:

Brief description of your organization and the link to organization website

Description of duties:


Skills and/or qualifications desired:

Explanation of benefits to student (what will be learned, what skills will be developed, what training or mentorship will be provided, etc.)

Materials applicants should submit to apply:

Whom should applicants contact in order to express interest?

Name:

Title:

Street Address

City: State: Zip:

Telephone: E-mail Address:

Application Deadline: