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 Deadlines:

Fall S 18: August 17, 2018
Fall Q 18: September 21, 2018

Winter Q / Spring S 19: January 4, 2019

Spring Q 19: March 22, 2019

Summer 19: June 14, 2019

Fall S 19: August 16, 2019
Fall Q 19: September 20, 2019

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
How many hours per week will you intern? *
Your answer
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
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