CORNELL COLLEGE
REGISTRAR'S OFFICE
PROPOSAL FOR CORNELL SUMMER FUNDED INTERNSHIP
Due May 2, 2016
Your name: _______________________________________________
Student ID Number: ______________________________
Department: ____________________________________
Prerequisites: 8 course credits?
Yes
No
Course Level (circle):
299
or
399
Two courses in same department? (list courses) ___________________________
Site name and Location where Internship will be done: __________________________________________________________________
_____________________________________________________________________________________________________________
Name of site supervisor: _____________________________________
Telephone No.: _________________________________
Brief description: _______________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Method of evaluation by Cornell Faculty Sponsor: _____________________________________________________________________
_____________________________________________________________________________________________________________
Signature of Student*: ________________________________________________________ Date: ____________________________
*my signature indicates I have read and agree to the requirements and deadlines on the back of this form.
Faculty Sponsor NAME___________________________________
SIGNATURE______________________________________
Date: _________________________
Academic Advisor NAME __________________________________
SIGNATURE______________________________________
Date: _________________________
Office of International & Off-Campus Studies Approval (if required) _____________________________________ Date: ___________
Signature of Financial Aid Official: ______________________________________________
Date: ____________________________
Date Funding will be appropriated: ________________________________
*Business Services: __________________________________________________________ Date: ____________________________
*Registration will not be processed until all fees are paid. The Business Services signature will be given when payment in full is received.
Drop date for refunds is 5 business days after the start date specified. After that date the grade earned will appear on the transcript.
Course credits:
1/2 credit = min. of 80 hours total (or 20 hours per week for 4 weeks or 40 hours per week for 2 weeks)
1 credit = min. of 160 hours total (or 40 hours per week for 4 weeks)
2 credits = min. of 320 hours total (or 40 hours per week for 8 weeks)
Dates: Summer 1 = May 9 – June19
Summer 2 = June 27 – Aug 7
To be completed by Cornell Centers Staff:
Registration Session Summer 1 number of credits (circle one):
0
½
1
Number of hours per week: _______________
Registration Session Summer 2 number of credits (circle one):
0
½
1
Number of hours per week: _______________
Dates of Internship Overall: Start ____________________________
End _______________________
Signature of Cornell Centers Staff: __________________________________________________________
Date: ___________________
Requirements and Deadlines:
• Due Date: May 2, 2016, 4:00 PM, Registrar’s Desk in Old Sem.
• Payment must be made before your registration will be processed.
• Prerequisite: Complete eight course credits by May 4, 2016, including at least two in the same department as the internship.
• Dates: Summer Internships must start after the final block and be completed by August 15.
• Grades: The Summer Internship is graded only Credit/No Credit and will not affect your GPA.
• Housing: Students requesting summer housing should contact Residence Life as soon as possible. Space is limited.
• Graduation Requirements: A maximum of four course credits earned in Individual Projects, Group Projects, Internships,
Summer Internships, and Summer Individual Projects may be counted toward the minimum credits required for the B.A. or
B.Mus. degree.
• Responsibility: Consult the Cornell College Catalogue (“All-College Independent Study Courses”) for general requirements,
policies, and limits governing credit for Summer Internship.
Registrar’s Office Use:
Event ID, Section and Session: ________________________________
Google Doc: ________
P File: _________