Academic Requirements Worksheet

Internship Academic Requirements Worksheet

Please work with your faculty internship advisor to develop a academic plan for your internship learning agreement.

Important Note: This worksheet is not submitted. This is a tool to help you collect the required information needed to complete your online internship application in Handshake.

Section A: Company/Position:

Internship Host Company:____________________________________________________

Company Website: ______________________________ Company Phone:_____________

Internship/Position Title: ______________________________________________________

Section B: Internship Department/Instructor

Campus Location:________ College:____________ Major:_________________

Course Prefix: __________ Course Number: _________ Number of Credits: _______

Department Office Phone: ____________________

Faculty Instructor Name: ____________________________ Email: __________________

Dept. Chair Name: ________________________________ Email: __________________

Dept. Dean/Assoc. Dean Name : ______________________ Email: __________________

Section C: Academic Requirements: (Indicate if required and circle assignment frequency)

Term Paper/Project Due: Yes____ No____