Internship Application | Murrow College of Communication

Completed and passed COM 300*

Yes
No

INTERNSHIP PROPOSAL

Consult with your agency supervisor and Murrow Student Services Staff to identify your site and academic responsibilities. The proposal is typically one or two pages and must address the following components of your internship. It should be typed in essay format.

The proposal has four components:

Name of the agency and geographic location, (city, state, and zip code)
A description of the agency and the department in which you will work.
Specific Tasks: Please provide as much detail as possible when discussing your responsibilities and/or special projects. What individual activities will you engage in?
Preparation: List all relevant courses, completed or in-process, and/or extracurricular/work experience that has prepared you for this internship. Identify the learning you expect will take place in your internship, discuss skills you will develop, theories you will apply, and/or knowledge you hope to gain.

UPLOAD YOUR PROPOSAL BELOW.

Upload a .pdf, .doc or .docx

UNDERGRADUATE ACADEMIC INTERNSHIP APPLICATION

Name*

First Last

Student ID#*

Major*

What campus are you enrolled in?*

Citizenship*

U.S. Citizen
International Student

GPA*

Please enter a number less than or equal to 4.5.

Year of Graduation*

For which semester are you seeking internship credit?*

I have completed an internship for credit*

Yes
No

When did you complete this past internship?

WSU Email*

Enter WSU Email Confirm WSU Email

Address during internship

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

SPONSORING ORGANIZATION INFORMATION

Name of Organization*

Site Supervisor Name*

First Name Last Name

Site Supervisor Title:*

Supervisor Email*

Enter Email Confirm Email

Department:*

Phone*

Fax

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization Website*

Your title at the internship, if any*

Internship Session*

Fall (Year), Spring (Year) or Summer (Year)

Hours per week*

Start Date*

End Date*

Total number of weeks*

Number of credits requested

53.3 hours/credit, maximum of 12 credits

Please enter a number less than or equal to 12.

SIGNATURES/E-MAIL CONFIRMATION

Your agreement here indicates that you have read and will abide by the internship policies, understand that the grading system is credit/no credit, and have read the following statement and agree to the terms stated. “WSU does not knowingly approve internship opportunities which pose undue risks to their participants. However, any internship or travel carries with it potential hazards which are beyond the control of the University and its agents or employers.” I grant Murrow Student Services permission to share contact information concerning my internship site with fellow students and members of the WSU community. Important correspondence regarding your internship will be sent to you via your WSU e-mail account. Please be sure to check it regularly.

I agree

Please attach and email from your site supervisor agreeing to sponsor you in this internship and will abide by the US Internship guidelines which can be found at

Site Supervisor Agreement*

Please attach and email from your site supervisor agreeing to sponsoring you in this internship and will abide by the US Internship guidelines which can be found at the US Department of Labor: http://www.dol.gov/whd/regs/compliance/whdfs71.htm#.UH21w4ZuIT4.

Does the company have a safety program, or documented policies and procedures relating to safety within the company?*

Yes
No

Is there a safety-training program?*

Yes
No

Is this company/organization insured?*

Yes
No

Comments

This field is for validation purposes and should be left unchanged.

Communication Internship Credit Application

INTERNSHIP PROPOSAL

UNDERGRADUATE ACADEMIC INTERNSHIP APPLICATION

SPONSORING ORGANIZATION INFORMATION

SIGNATURES/E-MAIL CONFIRMATION