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Department of Communication Studies
Internship Application
COMM 4390 & 5390
Semester of Application for COMM 4390/5390 *
Full Name *
Student Identification Number (A#) *
Address (Street, City, & State) *
Phone Number *
Email *
Major *
Minor
List 3000 - 4000 level COMM courses you have completed *
Do you already have an internship commitment? *
Yes
No
If yes, please provide internship employer details (Company Name, Address, City, State, Supervisor Name and Supervisor email and phone number)
If you answered YES to having an internship, are you employed with this organization full-time or part-time? How many hours per week?
If you don’t have an internship commitment, what type of internship (area of interest) are you seeking?
Indicate any specific organization(s) you are interested in working with for the internship:
Indicate the specific geographic area you will be working:
Will you be able to complete the 150 hours of internship work that is required to complete the internship course? *
Yes
No
Do you have any comments or concerns related to the internship course?
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