Internship Interest Form

Name:
C#:
Program:
Emphasis:
Anticipated Graduation Date:
GPA:
Telephone Number:
Email:
Semester you would like to do your internship:	Spring Summer Fall
Year:
How many hours each week would you like to work as an intern:	5 hours (1 credit hour class) 10 hours (2 credit hour class) 15 hours (3 credit hour class)
Do you have a company or companies in mind for your internship? Have you contacted the company:
What would you like to learn in your internship: