Experiential Learning Application

Experiential Learning Application

Completed by the Student
At Beacon College, we value "Experiential Learning" in all academic settings both on and off campus. Experiential Learning encourages students to leverage real-world, practical experiences that can support their short and long-term career goals. These opportunities include internships, job shadowing, apprenticeships, specific part-time jobs or volunteer work related to your major, minor or career goals.

Directions:

Step 1: Student will complete this form prior to starting any experiential learning opportunity you wish to use towards your minimum 80 hour experiential learning ("internship") graduation requirement.

Step 2: After submission, your Career Advisor will reach out to you within 48 business hours via email or to schedule a Pre-Approval Appointment at the Career Center.

Reminder: Submitting this form does NOT automatically approve your Experiential Learning opportunity. Only your Career Advisor can approve your application. Pre-Approval Appointments can be made year-round as opportunities arise on Handshake.
- Fall/Spring Opportunity - In Person Appointments Only
- Summer Opportunity - In Person or Virtual Appointments available
STUDENT CONTACT INFORMATION
Student Name*

First NameLast Name
AnthrozoologyBusiness ManagementBusiness HospitalityCIS: Information SystemsDesign & Digital MediaHuman ServicesHumanitiesPsychologyStudio Arts
Please select your current school year status.*
Beacon Email*
example@beaconcollege.edu
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
COMPANY | ORGANIZATION INFORMATION
Company | Organization Name*
Department Name*
Example: Sales Department
Supervisor Name*

First NameLast Name
Title of Supervisor*
Supervisor Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Company | Organization Website*
Company | Organization Social Media*
@abccompany
Company | Organization Address*

Street Name

Street Address Line 2

CityState

Zip Code
If the company is not in the United States, please enter the address below.
ABOUT MY OPPORTUNITY
InternshipJob ShadowVolunteer workPart-time employmentApprenticeshipBeacon College Student Employment (see Agreement below)
Student's Role / Title*
Ex. Graphic Design Intern, Animal Shelter Volunteer, Program Assistant
Projected Start Date*
Exact starts date to be determined by student and supervisor.
Projected Start Date *
Expected End Date *
My Tasks & Responsibilities*

Please provide a detailed job description that will be reviewed by your Carer Advisor.0/0
YesNoOther (explanation below)
If you selected other "Other," please explain.
YesNo
Beacon College Student Agreement*
Student Signature*

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Experiential Learning Application

STUDENT CONTACT INFORMATION

COMPANY | ORGANIZATION INFORMATION

ABOUT MY OPPORTUNITY