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Student Internship Form
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Student Internship Form
Student Information
Name
Enter your first and last name
Date
Year
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2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
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Month
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Your Penn State E-Mail Address
Alternet Email Address
Local Telephone Number
Enter your local telephone number where you may be contacted.
Student ID Number
Enter your 9-digit student ID number. This is NOT your Social Security Number (SSN).
Major
Semester Standing
Internship Site Information
Organization Sponsoring the Internship
Internship Information
Semester of Internship
Number of LA 495 Credits
Internship Begins
Enter the date that the internship is to begin.
Year
--
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
/
Month
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January
February
March
April
May
June
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August
September
October
November
December
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Day
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Internship Midpoint
Year
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2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
/
Month
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January
February
March
April
May
June
July
August
September
October
November
December
/
Day
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Internship Endpoint
Year
--
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
/
Month
--
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
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1
2
3
4
5
6
7
8
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11
12
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14
15
16
17
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19
20
21
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24
25
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Number of Weeks
Number of Hours/Week
Total Number of Hours
Internship Supervisor Information
Supervisor Name
Supervisor Title
Telephone (residence)
Office Address
City
State
Zip Code
Office Telephone Number
Fax Number
Hourly Pay Rate
If internship is unpaid, please enter a 0
How did you find your internship?
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