Internship Site Approval Form

If you would like to become an approved internship site, please use the form below. This form should be submitted by the employer.

Internship Site Approval Form

Primary Contact Name

Primary Contact Email

Company/Organization

Company/Organization Mailing Address

Street Address

City

State

Zip Code

Internship Job Duties
At least 50% must include applied learning in one of the 4 major concentrations.

Projected Total Internship Hours
A maximum of 135 hours are required for course credit (45 hours for each credit hour). Additional hours are optional.

Supervisor Academic Credentials
Please list degree and institution.

Supervisor Professional Experience
Please list previous 3 employers including date and title. Do not include duties.

Industry

NOTE: Information submitted with this web form is not secure. It is strongly recommended you do not include any personal information (e.g.: social security numbers).

Internship Site Approval Form

Explore West

Internship Site Approval Form

Internship Site Approval Form