INTERNSHIP PROPOSAL
1. Student's Name:
2. Credit Hours Requested:
3. Field Sponsor:
Title:
Name of Business:
Business Address:
Phone Number: Email: _____________________
4. Summary of the goals and objectives of the internship:
5. How will you achieve the above goals (what will you be doing?)
KIN 299 Internship Proposal
Page 2
6. Educational background relevant for the internship:
Course Work:
Work Experience (if any):
7. Length of internship (approximate beginning and ending dates):
8. Approximate hours per week:
9. Requested credit hours:
Submitted: Kinesiology Department Approval: __________________________
date date
Field Sponsor's Signature: __________ date
date
Interns Signature: ______________________________________________________________
date
le/9-18-13