COM 498 ~ Internship Application Department of Communication Studies

COM 498 ~ Internship ApplicationDepartment of Communication Studies

Full Name

First NameLast Name

Student ID #*

Phone Number*

Campus Email*

Emphais Area in Department*

see Discipline Areas

COM Classes in emphasis area (completed or in progress only)*

Semester of intended internship*

FallSpringSummer

Number of Credit Hours requested for internship (3 or 6) (NOTE: 126 hours required for 3 credit hours and 252 hours required for 6 credit hours.)*

Number of total hours enrolled (or to be enrolled) for the semester NOT including the internship (Note: may not exceed 16 hours including the internship in fall/spring)*

Ideal agencies given your intended life goals and emphasis areas listed above. See online approved agency book . Remember you must meet with department internship director before contacting potential agencies.*

For Office Use Only

Date: ___________COM: __________ or PCOM _____________GPA: ___________ Enrollment form to student: ________Enrollment form to dean: __________

Application StatusEmailed interview needed: ________Approved: __________Hold: ____________Denied ____________