Career Services Internship Application Form

Career Services Internship Application for Fall 2023

Student Name(Required)

First Last

Trojan ID Number (T#)(Required)

Email Address(Required)

Phone Number(Required)

Major(Required)

Minor(Required)

If you have not declared a minor, type "N/A".

Have you notified your work supervisor that you want to earn academic credit for your internship or job?

Yes

Internship class(Required)

Faculty Member First & Last Name(Required)

Faculty Member Email Address(Required)

Credit/ Non Credit(Required)

Credit

Non Credit

Site Supervisor(Required)

Company Name(Required)

Supervisor's Work Email(Required)

Supervisor's Work Phone(Required)

Internship Site Company website(Required)

Internship Site(Required)

Internship Beginning/End Dates(Required)

Internship Start Date(Required)

Internship End Date(Required)

What is your internship job title?(Required)

If you would prefer to attach your job duties, upload the attachment(s) here.

Drop files here or

Accepted file types: docx, doc, pdf, Max. file size: 49 MB, Max. files: 5.

Upload Word or pdf documents only.

What are your job duties?(Required)

If you would prefer to attach your duties, type "See Below" and upload your information.

How many hours per week do you work?(Required)

What is your hourly rate of pay?(Required)

Is this an employer funded internship?(Required)

Yes

Upload your Completed and Signed W9(Required)

Max. file size: 49 MB.

Faculty/Staff Recommendation Form

Use this form link to obtain a faculty/staff recommendation. Follow the instructions at the top of the form to complete this requirement. https://forms.gle/G366KQsQjibLMwwA8

Upload Internship Employment Agreement here(Required)

Accepted file types: docx, doc, pdf, Max. file size: 49 MB.

Upload Word or pdf documents only.

For issues with submitting the form, contact us at careers@ualr.edu.

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Career Services Internship Application Form

Career Services Internship Application for Fall 2023

Faculty/Staff Recommendation Form

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