COMSOC (COMST) 495 Internship Application
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Your Name: *
ID Number: *
Campus Phone Number *
Permanent Phone Number *
Email Address *
School Mailing Address: *
Permanent Mailing Address: *
Who is your advisor? *
# of Credits you want for the internship: *
In one or two paragraphs, please describe your role or the tasks you will perform in this internship. *
Are you certified? *
Which semester are you looking to do the internship in? *
What is your Communication major and specialization? *
List the COM & COMSOC courses you have taken or will have taken prior to doing the internship: *
See Faculty Advisor for Individual Requirements. *
If you have found an internship already, please fill out the following:
Company Name:
Company Phone Number:
Company E-mail Address:
Company Mailing Address:
Supervisor's Name:
Supervisor's Phone Number:
Fax Number:
Please read the following prior to submission:
I agree that I will perform in a professional manner and will follow the instructions and policies of the organization where I will be interning. I understand that I will submit a written report describing my activities and evaluating my experience at the conclusion of my internship. This must be done in a satisfactory manner before credit will be granted. I understand that I must enroll for credit with WSU that corresponds with the number of hours I work, and if I drop or fail to pay tuition fees, I will be dismissed from the internship program and the on-site supervisor will be notified that I am no longer with WSU. I realize that my GPA (in Communication Courses) must be at least 2.7 to qualify for an internship.

If you certify that the above stated is accurate and true to the best of your knowledge, please type your name and date on the form and click the SUBMIT button.
Signature *
Date *
mm/dd/yy
Submission Instructions:
Submit the information OR
if the form will not submit, print it out and return it to the Internship Coordinator in Murrow East 226 .
Submit
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