Internship Program Application

Name (Last, First) *

Student ID Number *

Email Address *

Phone Number *

Please Indicate Year in School *

Current Major? *

Current Minor? *

Please Indicated Which of the Following Courses You Have Taken? (Select All That Apply) *

Expected Graduation Date *

Do You Require an F-1 or J-1 Non-Immigrant Visa? - This question pertains to work authorization paperwork only, and is not used for any other reasons.

Yes

No

Internship Position Title *

Internship Organization Name *

Internship Supervisor's Contact Information - Please provide your direct supervisor's first and last name, email address, and phone number. *

Internship Start Date *

Hours Per Week - Please fill in how many hours you will work in a week. *

How Did You Find This Position?

In Which Academic Quarter and Year Do You Plan to Complete Your Internship?

Is Your Internship Paid?

No

Yes (Please Enter Amount)

Please tell us about your position. Include at least 2 sociology-related job duties and tell us how they are aligned with your major or graduate program.

Please tell us what you hope to learn from this internship and how you believe the position will help you reach your career goals. *

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