Student: Please complete this form and discuss your internship with your academic advisor. After obtaining your advisor's signature, present this form to the faculty member you are requesting to sponsor your internship. You may make copies of this form, or open the MS Word version. This form must be typed.
Campus Box Number _______ Phone ____________ Email _______________________________
Major(s) ___________________________________ Minor _________________________________
Overall GPA _____________________________ Major GPA _______________________________
I wish to apply for an internship in the following field:
Academic advisor signature _______________________________ Date __________
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