Site Internship Application

Internship Site Contact Info
Internship Details

Full-time (240 minimum hours, 6-12 weeks), Part-time (120 minimum hours per semester over two consecutive semesters)

Specify whether Summer, Fall, Spring, or Other and what year for each.

$

Amount: $_____ per ______

$

Amount: $_____ per ______

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$

Amount: $_____

$

Estimated Amount: $_____

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Check any that apply.

Please provide estimated amount and/or details.