Crown Family Internship Application

Please note:

You must apply every quarter you wish to register even if you are on the same internship. Permission numbers do not carry over and registration is dependent on this approval process.

Up to three registrations total of CRDV 510 are allowed, but no more than two registrations may be consecutive.

Incomplete or inaccurate applications will be denied.

For more information on CRDV policies, please visit our website.

Applicant Information

First Name

Last Name

Email Address

Student ID

Home Department

Advisor Name

Advisor Email Address

Year and Quarter 1st Registered at Northwestern

PhD Admitted Year

PhD Admitted Quarter

Academic Progress

Have you passed your qualifying exam?

The program is only open to McCormick PhD students who have passed their qualifying exams.

Yes

Expected Graduation Year

Expected Graduation Quarter

Internship Information

Company Name

Internship Start Date

Must Match Offer Letter.

mm/dd/yyyy

Internship End Date

Must Match Offer Letter.

mm/dd/yyyy

Note:

The dates of your internship should generally coincide with the dates of an academic quarter.

Previous Crown Registration(s)

All previous registrations must be included with company names.

Terms must match the unofficial transcript attached below.

Have you registered for CRDV 510 before?

Only 3 quarters of CRDV 510 are allowed.

If you have already registered 3 times, do not submit this form and discuss with your advisor other options.

This is my first time registering.

This is my second time registering.

This is my third time registering.

I have already registered three times.

Previous Crown Registration(s) Details

Example: Company name Fall 2024, Company name Winter 2025

N/A if not applicable

Please separate multiples by comma

Attachments

ATTACH ALL: CV, Internship Offer Letter, Unofficial Transcript

Applications without all three documents will not be reviewed.

Offer letter must include dates and payment details.

Unofficial Transcript must be up to date as of most recent quarter.

Drop your files here

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