Last Minute Details

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Last Minute Details

Intern Name

First and last name

Intern ID Number

Please include the @ in your ID number (For example, @01073469)

Intern's Address

(Street, City/Town, State, Zip Code)

Intern's Cell Phone Number

Preferred format: 555-555-5555

Intern's University E-mail Address

Intern's Personal E-mail Address

Intern's Concentration in Communications Media Department

I will be interning during the semester of:

Please include year (For example, Fall 2010)

I have been accepted as an intern with:

Is your internship paid or unpaid

Unpaid

Paid

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Internship Organization's Full Address:

(Street, City/Town, State, Zip Code)

Internship Organization Site Supervisor:

Internship Organization Supervisor's Phone Number:

Preferred format: 555-555-5555

Internship Organization Supervisor's E-mail:

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