College Credit Internship Application
Personal Information
First Name
Last Name
Email
Phone Number
Address
City
State
ZIP Code
Academic Information
College / University
Major
GPA
Expected Graduation Date
Current Year
Freshman
Sophomore
Junior
Senior
Internship Details
Company / Organization
Internship Position
Internship Supervisor Name
Supervisor Contact (Email or Phone)
Start Date
End Date
Hours per Week
Credit Requirements
Number of College Credits Requested
Faculty Advisor Name
Faculty Advisor Contact (Email or Phone)
Statement of Purpose
Explain why you are seeking this internship for college credit.
Additional Comments
Comments