Department of Communication Studies
Internship II Application - Digital Media Arts (DMA) Majors


Date Submitted:
Name: I.D. #:
Home Address:
City: Zip Code:
Home Telephone:
Local Address:
(if not living at home)
City: Zip Code:
Local Telephone:
Email Address:
Date of Graduation:
Yr.: Semester:
Major(s):
Cum. Ave.: COM Ave.:


Previous Internship Experience

When: Semester Year: Where:
Credit Hours Earned: Supervisor's name:


Internship Responsibilities



(Please indicate desired semester of internship)
Semester Year Semester Year Semester Year
Fall Spring Summer


Please choose the number of credits sought:
3 6 9 12 hrs. (out of town)


Please give a brief job description of specific situation sought:

 

Course Number
Courses Completed Supporting
This Concentration Sequence
Grade