INTERNSHIP for ACADEMIC CREDIT FORM

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First Name: *

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Last Name: *

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PeopleSoft ID: *

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Email Address: *

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Phone Number: *

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Major: *

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GPA: *

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Are you in Bauer Honors program? *

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Are you currently in the Online BBA program? *

YesNo Required field

Internship Company: *

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Internship Job Title: *

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Supervisor Name: *

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Supervisor Email: *

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Supervisor Phone: *

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Internship Semester & Year: *

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Internship Start Date: *

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Internship End Date: *

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How Did You Find This Internship? *

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Job Offer Letter: *

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. *Required field	*Required field
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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.