APPLICATION FOR STUDENT INTERNSHIP PROGRAM
Department of Communication Studies

(Please print out and type information on this application)

Student Name _________________________________               SS#__________________________

Local Address _________________________________________________________________

Email Address _________________________________________________________________

Classification ____________________________                      Hours Completed _______________

Major __________________________________               Minor ______________________________

Cumulative GPA _________________                                 GPA in Comm Studies ________________

Career Interests After Graduation:

Special Skills and Experience (work experience, word processing, foreign language):

Semester and year for which you are applying:    

Fall______                      Spring______                Summer______

Do you have a specific internship in mind?         Yes             No

If yes, list the company name, contact person, and phone number

Company Name________________________________________________________

Contact Person _________________________________________________________

Phone Number _________________________________________________________

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Department use only: Application Complete_______________               Interview ______________  

Major_____            Class__________          Cum GPA___________               Comm GPA____________

Dept Core__________________               ≥ 6 UL Comm hours______________________________ 

Internships Sought______________________________________________________________

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