GRADUATE INTERNSHIP APPLICATION

Please Type:

Name: _________________________ *WST 6946, Section: _____________

UF ID Number: __________________ Email: ___________________________

Telephone: ______________________

Address: Semester Desired (Indicate Year):

_______________________________ Fall _______

_______________________________ Spring ________

_______________________________ Summer _______

# of Credits (1-3): ________________ Grade Point Average: _______________

Major: __________ Minor: ________ Class: ______________

Briefly discuss the scholarly content of your internship which makes it worthy of academic credit (attach additional paper if necessary):

________________________________________________________________________

Agency Name & Address

Agency Supervisor________________ Agency Telephone Number: ________________

_________________________________________ ________________________

Signature (Agency Supervisor) Date

_________________________________________ ________________________

Signature (Director, CWSGR) Date

Applicant: Please return application to 201 Ustler Hall

after you have received the appropriate signatures, for registration purposes