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Internships at IU East: Student Interest Form

Student Name Date

Address

Phone Alternate Phone

E-Mail Date of Birth

School or Major Credit Hours Completed

Class (Expected) Graduation Date Accumuative. GPA

Briefly describe your future career goals and areas of interest for an internship experience:

List any school and/or community activities, honors, special skills relevant to your area of interest for an internship:

List completed coursework or previous work experience relevant to this area of interest:

If you have located an internship on your own, please complete:
Name of Agency / Organization

Street Address

City State ZIP

Site Supervisor Phone

The Campus Career Center will keep this form on file. It is a students responsibility to frequently check available internships and to notify the Campus Career Center of their interest in applying for a specific internship position.