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First name *

Last name *

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Phone *

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When do you expect to graduate *

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Name of College/University Supervisor *

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Length of Internship (required by College/University)

Available Starting Date *

Preferred Ending Date *

What do you expect from an internship experience?

Provide a statement of your career objective(s)

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Cover Letter *

Resume *

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Letter of reference from academic advisor *

Credit Options *

Please Select Credit Non-Credit