Hope College Biology Department Internship Application
Student Name: _________________________________________________
Date: ____________
Permanent Address
Student Number: ________________________________________________
Graduation Date: _______________________________________________
Degree Sought: _________________________________________________
Name of Hope Supervisor: _______________________________________
Internship Site (Organization Name and Address)
When will you be doing your internship? (Fa/Sp/Su): ____________
How many hours per week will you be working?: __________________
Placement Supervisor
Description of Internship Activities: __________________________
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What objectives will be met by Midterm?: _______________________
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Description of Final Project:
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Number of Biology Dept Internship credits desired: _____________
Signature of Student: __________________________________________
Signature of Hope Supervisor: __________________________________
Signature of Chair/Biology Department: _________________________