Rev. 5/14 Nicholls State University College of Business Administration Student Application for Internship (You must be a College of Business junior or senior to be eligible for an internship) Date: Semester interested in internship: year semester/ Internship Course: Deadline to apply for Summer or Fall 2015 Internship: April 16, 2015 1. Fall Internship: Last day to be enrolled for internship is August 24, 2015 2. Spring Internship: 3. Summer Internship: Last day to be enrolled for internship is May 29, 2015 at 11:15. *You must have completed adequate number of courses in target discipline . (usually 9hrs.) Name: Mr./Ms. First Last Accounting (Acct 402) Computer Info Sys (CIS 400) Finance (FINC 460) Management/Gen (MNGT 469) Management/HR (MNGT 469) Management/Maritime (MNGT 469) Marketing (MKTG 460) Marketing/Sales (MKTG 460) Address: Student ID#: Work Phone: Local Phone: E-mail Address: Other Phone: (Where you can be reached between semesters) Classification: Senior Junior GPA: (minimum 2.0) Semester of graduation: A. Please check which applies to you: 1. (Company Name) has agreed to provide me with an internship position. I understand this internship site must be approved by the College of Business before I begin the internship at this organization. Complete the following concerning the potential internship site. Company Name: Contact Person: Company Address: Phone: 2. I am requesting the Department of to provide me an opportunity to be placed in an approved internship site. I understand that this placement is not guaranteed and is dependent upon my being selected by an approved internship site for an internship position. B. Will you accept an internship position in the following locations? Baton Rouge Houma Lockport Metairie Morgan City Other C. Are you eligible to work in the United States? D. Will you be available for interviews between semesters? E. You must attach a resume and a copy of your NSU transcript to this application. The College of Business is given permission to release my grades/transcript to prospective employers. Please sign and then get the department head to sign 1st and then your advisor to sign 2nd. ___________________________________ Student Signature Yes Thibodaux No Yes Department Head Signature No Advisor Signature Assistant Dean, College of Business Administration 106 White Hall Thibodaux, LA 70310 (985)448-4179 or (985)448-4241 FAX: (985)448-4922 e-mail: marilyn.macik-frey@nicholls.edu or connie.daigle@nicholls.edu