UNCW F S D I

advertisement
UNCW FILM STUDIES DEPARTMENT INTERNSHIP APPLICATION
APPLICATIONS ARE NOT CONSIDERED COMPLETE WITHOUT A DEGREE AUDIT, SIGNED PERMISSION TO
ENROLL FORM AND RESUME ATTACHED. RESUME MUST ALSO BE EMAILED AS A PDF.FILE TO:
[email protected] For assistance with your resume, please contact: UNCW Career Center - Fisher University Union.
INTENDED SEMESTER OF INTERNSHIP:
_____________________________
_____________________
(SPRING, FALL, SUMMER I, SUMMER II)
(YEAR)
You may direct any questions to: Terry Linehan, Internship Director, 910-962-2231, [email protected], KI 106B
1. You will be charged an $18 liability insurance fee for EACH production course (including internships) for which you are
enrolled. Once you register for the course(s), this fee will automatically post to your student account as a tuition fee, and is due
with your tuition payment according to university policy.
Please print legibly.
Full Name: __________________________________________________________ Student ID #: ___________________________
Address: ________________________________________________________ Phone: ___________________________________
________________________________________________________ E-mail address: ____________________________
Current GPA: ____________ Class Year (Junior, etc.): __________________ Expected graduation date: ______________________
Major: __________________________ Minor: ___________________________
Please list any internships or DIS courses completed, or in progress:
Preferred internship sites (list specific agencies in order of preference):
1. ________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________
Do you have any physical impairments, disabilities, or medical conditions of which we should be aware?: ____ Yes ____ No
If yes, please explain briefly:
Are there any particular activities or tasks that you are unable or unwilling to perform (heavy lifting, conducting business on
telephones, etc.)? Please list:
BY SIGNING BELOW, I PLEDGE THAT I HAVE READ, UNDERSTAND, AND AGREE TO FOLLOW THE “INTERNSHIP
EXPECTATIONS” LISTED ON THE MAIN INTERNSHIP WEBPAGE UNDER “ESSENTIAL INFORMATION.”
Student signature _____________________________________
Revised 06/15/11
Date: ________________________
Download