UCDC Internship Offer Form
Instructions
Congratulations! You've received an internship offer and we are excited for you! Please fill out this form as soon as you receive an internship offer. Your assigned UCDC Program Administrator will follow up with you to confirm your submission and they will give you the final approval before you can formally accept the offer with your potential internship site. As a friendly reminder, once you receive approval to accept the internship offer, it is a binding commitment. If you receive other offers or invitations to interview, you must decline them so choose wisely!

Submission Deadline:
Fall Semester - Friday, August 18, 2017
Fall Extended Quarter - Friday, September 1, 2017
Fall Quarter - Friday, September 15, 2017

Basic Information
Last Name
Your answer
First Name
Your answer
Campus
Email
Your answer
Term
Internship Information
Name of Organization
Please type out the entire name and include acronyms at the end
Your answer
Organization Category
Choose the best option
If you are working at a federal agency, do they require a signed volunteer agreement?
If yes, please contact your assigned PA and they will sign it.
Address
Number, Street, Quadrant, Suite, City, State, and Zip Code
Your answer
Supervisor's First Name
Your answer
Supervisor's Last Name
Your answer
Supervisor's Official Title
Your answer
Supervisor's Office Number
Please provide an extension number or direct line
Your answer
Supervisor's Email
Your answer
What is your internship title?
i.e. Public Policy Intern, Education Intern, Communication Intern, etc.
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Other
Based on a scale from 1-10, how does this internship meet your educational or career aspirations?
How did you find your internship?
Required
Submit
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