IR 391 D-Clearance Form
Internship/Field Study (IR391) allows students to work in local, national, and/or international internships that relate to the field of International Relations in order to receive undergraduate credit. Two units may be taken during a semester; eight units total may be taken over the course of a student’s undergraduate studies.  

Please note that we will not consider internship positions where your direct or indirect supervisors will include members of your own family.
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Full Name *
Your contact email
10 Digit Student ID Number *
Major(s) *
Minor(s) *
Semester for which D-Clearance is Requested
I.e., Spring 20XX
Internship Company/Organization *
Internship Office Address *
Name and Title of Immediate Supervisor *
Email of Immediate Supervisor *
Phone Number of Immediate Supervisor *
Total Hours per Week Interning *
Total Number of Weeks Interning *
Total Projected Hours for Semester *
Internship Description *
Please write a short job description, outlining what your duties are at your internship. You must also relate your internship to International Relations, discussing how your internship has an international aspect.
How did you identify this internship opportunity?
Clear selection
Is this a paid internship
Clear selection
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