Mass Communication Intern Application Form

Applicant Information
Last Name  
First Name  
Address  
City  
State  
Zip  
Student ID#  
Local Phone  
Permanent Phone  
E-mail  
Major  
Minor  
Overall GPA  
What semester do you want to participate in in the internship program? Fall
Spring
Summer 1
Summer 2
 
Year  
List relevant work experience in chronological order.  
List related Mass Communication courses completed and grade for each.  
Professor from Mass Communication who has agreed to serve as your Internship Advisor. Note: Professor should be from your particular discipline and you should have taken classes from them:  
List three businesses you are
interested to intern with
 

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