State University of New York
College of Agriculture and Technology
Cobleskill, New York
Bachelor Degree Internship Program
ELIGIBILITY APPLICATION
Submit this form, completed and signed, to your department chair by October 1
st
for Spring
Internship; March 1
st
for Summer Internship; or May 1
st
for Fall Internship. Type or print clearly.
Student Name:
800 #: - -
Campus Address:
Home Address:
Academic Major:
Phone: ( ) -
Term Desired:
Preferred Email:
Overall GPA: _________________
Are internship course prerequisites completed? Yes No
Have you applied to a specific site yet? Yes No
If no, what type are you seeking?
What are your specific career goals, and how do you see an internship helping you achieve these
goals?
Student: I have reviewed my DegreeWorks degree evaluation and am eligible to apply for a
Bachelor Degree Internship.
Student Intern Signature
Date
Faculty Advisor: I have reviewed the degree evaluation with my advisee and concur that she/he has
met departmental course prerequisites and all other qualifications and is, therefore, eligible to be
considered for the Bachelor Degree Internship for the semester requested.
Faculty Advisor Signature
Date
Department Chair: I certify that the above named student has met departmental course prerequisites
and all other qualifications and is, therefore, eligible to be considered for the Bachelor Degree
Internship for the semester requested.
Department Chair Signature
Date