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Career Development Center
Career Development Center
Career Development Center

School of Business Internship Agreement

IMPORTANT: THIS DOCUMENT MUST BE FILLED OUT AND SUBMITTED BY THE EMPLOYER. WE WILL NOT ACCEPT ANY forms SUBMITTED BY THE STUDENT.

This internship applies to:

FALL SPRING SUMMER Year:

Please note that a separate Internship Form must be submitted for each semester that a student works

*Please note all the following information is required unless otherwise noted

Student Information
Student ID:
Name:
Address Line 1 :
Address Line 2 (Optional):
City:
State:
Zip:
Phone :
Email:
 


Employer Information
Company Name:
Address Line 1 :
Address Line 2 (Optional) :
City:
State:
Zip:
Phone :
Fax
Employer's Email:
Supervisor's Email
Supervisor's Name and Title
Supervisor's Job Title
 
Student Job Title
Beginning Date
Pop Up Calendar
Internship Total Hrs Worked:
(60 or more hours required)
Ending Date:
Pop Up Calendar
Hours Worked Per Week:
Is this a Paid Internship?
Yes No
Stipend:


Name of person submitting form:

 

By clicking the submit button, you are verifying that all above information is correct and giving the SIUE Career Development Center permission to share this information with the SIUE School of Business.





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