Fillable Pre-Registration-Form-For-Internships Jane Smith

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Pre-Registration-Form-For-Internships Jane Smith

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Pre-Registration Form For Internships
Date: ________________ Internship Semester/Year: _________________
Name: _______________________________________ UWFID: _________________________
Student Email: ______________________________ Level: Fresh, Soph, Jr, Sr ______________
Major: ________________________________ 2
nd
Major : _____________________________
Minor: ________________________________ UWF GPA: _______________
INTERNSHIP:
Internship Organization: __________________________________________________________
Organization Address: ___________________________________________________________
Supervisor Contact Name & Position: _______________________________________________
Sup. Phone: __________________________ Sup. Email: _______________________________
Organization website link: ________________________________________________________
REGISTRATION:
How many semester hours for internship: ________
Is this a Washington Center Internship (WC), yes or no: _________
If WC internship, will you take a course, yes or no: __________ Course semester hours: ______
If available, name of course: ______________________________________________________
2
nd
course, if applicable: _________________________________________________________
If WC internship/course: I consent to have the Department assign my grades for my Washington Center
experience: ____________________________________________________
I have met with my academic advisor concerning my course selections for this semester, yes or no:
_________
Can we congratulate you on your internship placement on our Facebook page, yes or no: ___________
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Pre-Registration-Form-For-Internships Jane Smith

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Completed 27 February 2020

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