* Denotes required field.
First Name: *   
Last Name: *   
PeopleSoft ID: *     
Email Address: *     
Phone Number: *   
Major: *   
GPA: *   
Are you in Bauer Honors program? *   
Are you currently in the Online BBA program? *   
Internship Company: *   
Internship Job Title: *   
Supervisor Name: *   
Supervisor Email: *     
Supervisor Phone: *   
Internship Semester & Year: *   
Internship Start Date: *  (mm/dd/yyyy)              
Internship End Date: *    (mm/dd/yyyy)    
How Did You Find This Internship? *   
Job Offer Letter or Job Description: *   
Provide a brief description with percentages of the duties/responsibilities for the internship. Note that the internship MUST be related to student's major/degree to qualify for academic credit.
List Most Important Responsibilities/Duties First Percent of Time
1.  *   * 

By submitting this form, I the Bauer College of Business student listed above, have READ the course requirements and acknowledge:
  • I am requesting enrollment in a 4000 level business course.
  • This course enrollment must be requested in advance of the semester I wish to receive credit, not after.
  • This course is billed with tuition and fees the same as other 4000 level business courses.
  • This course is graded on an Satisfactory/Unsatisfactory grade basis that does NOT affect the GPA.
  • This course requires completion of a term paper to be turned in near the end of the semester.

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