Name: Email: SID#:

Full Local Address: Local Phone:

Full Home Address: Home Phone:

Major: ISC TEL JOU (Broadcast) JOU (Print) Will graduate (Sem/Yr): Current Status: Junior Senior       

Overall GPA:     Major GPA:

When would you like to do an internship?  Sem/Yr: How many credits?(1-3) 3 2 1

Internship Requirements

JOU majors must have at least a 2.6 GPA overall and 3.0 major GPA to qualify. Internships of three credits are required of all ISC and TEL majors.

Required courses that must be completed before the internship starts:

ALL MAJORS: Attendance at an internship workshop in Grehan the semester before internship: DATE ATTENDED:
ISC: Completion of one path course prior to the start of the internship. COMPLETED PATH COURSE:
TEL: Completed TEL 300 ? Completed TEL 310 ?

JOU (Print): JOU 301 or JOU 303. COMPLETED COURSE:

JOU (Broadcast): Completed JOU 302 ?

1.  What kind of internship are you interested in?

2.  If you know of the place where you would like to do an internship, please provide the following information in the textbox below:

Potential supervisor:  Supervisor’s title: Name of the organization:  Address (Street, City, Zip): Phone number:

3.  Briefly explain your career goals and how you believe an internship will contribute to them:

The information provided on this application is accurate and complete.  I agree to inform the internship director of changes that affect the accuracy of this application.  I also agree to carefully read the detailed information in the internship Web site and abide by all School rules related to internships.

Signature (Type name in full):    Date:

REMEMBER:
You do not have to arrange the internship now.  You need to complete this form so the internship director will know you are eligible for the internship.

TEL and ISC majors must do internships for three credits.  JOU majors may do them for 1-3 credits. (Each credit equals about 50 hours of internship work during the semester).

You must do the internship during the semester in which you are registered for JAT 399.