Summer Waiver Request Form

2025 Summer

 

 

Personal Information

 
 
 
 
 
 
 
 

 

Activity

 
 
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
 
 
 
 
 
 

 


In the area below, please briefly (250 word limit) describe your proposed summer activity. Proposals for internships must include the name of the employer or sponsor and a detailed description of your expected responsibilities and activities. Also, if applicable, describe how the activity relates to your academic or career goals.