ME 6970 Internship Approval Form

ME 6970 Internship Approval Form

If you would like to do an internship, please complete the following form. Guidelines - Internship positions equal any work related to a student’s major area of study for one semester and one summer maximum per academic year professional work period. - A one page paper summary and reflection of work will be required at the end of the semester.

Date of Request

Semester of Internship*

Which term best describes the term of your internship?

Select or enter value

Internship Start and End Date*

For example: 5/17/24 - 8/13/24

First and last Name*

Student ID*

Email Address*

Degree*

Select or enter value

Projected Graduation Date (semester, year)*

Major Professor*

Major Professor's email*

Internship Information

Company Name*

Company Address*

Internship Supervisor Name*

Internship Supervisor Email*

Date of Internship (Start)*

Date of Internship (End)*

Describe the academic purpose of your internship*

How is this experience directly related to your major?

Met with ISSO?

Check the box if you are an international student and have met with the International Students and Scholars Office to discuss curricular practical training (CPT). If extending your internship, you must discuss ramifications with ISSO before completing this form.

Overlap with grad assistantship?

Check the box if the dates of your internship overlap with dates of your assistantship appointment.

Student Signature*

By typing your name in the box below and clicking "Submit" you are digitally signing this form and asserting that the above information is accurate and that you are the requester of the proposed internship for the year and term stated above.

Send me a copy of my responses

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