EXPL 390 - Academic Internship Seminar Approval Request Form
Please complete the information below in order to request approval to enroll in the EXPL 390 Internship Seminar: Organizational Change and Community Leadership course (formerly UNIV390). After your information is reviewed, the course instructor will notify you to schedule a brief face to face meeting to discuss the course and internship requirements. Because this course is for academic credit, you will have to have your internship approved by the course instructor 2 weeks before the class begins.
What is your name? *
Your answer
What is your email address? *
Your answer
What is your academic year status? *
Required
What is your major? *
Your answer
What is your Loyola ID number? *
Your answer
What semester are you looking to enroll in EXPL390? *
Do you have an internship confirmed? *
If you do not have a confirmed internship, scroll to the bottom and fill out the last two sections.
Is this a new internship? Or are you continuing current or previous position? *
If this is a position you have held, you must be increasing your responsibility in order to qualify for the class. This could mean an additional project or increased responsibility.
What is the name of the organization/company where you will be interning? *
State N/A if you cannot answer this question
Your answer
Please provide a brief job description of the academic internship (job responsibilities, location, type of population, etc.) *
State N/A if you cannot answer this question
Your answer
Internship Employment Status *
Full-time employment is not allowed for Spring and Fall academic internships.
Will you be able to complete a minimum of 100 work hours (8 to 10 hours per week) over the semester? *
What is the name, email, and phone number of the site supervisor that will work with you throughout the academic internship? *
State N/A if you cannot answer this question
Your answer
If you do not have an internship, list (3) preferred internship options.
Your answer
Briefly list what skills and qualifications have you acquired from employment, volunteer work or extracurricular activities. *
Your answer
Questions or comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service