LONG BEACH CITY COLLEGE
Faculty Externship Application
Name
Last
First
Extension
Alternative Phone ______________________________
Email Address: _________________________________________________________________
Please identify your CTE Focus Area:________________________________________
Eligibility Requirements
Please address the following questions in the form of a written document (no more than 3 pages),
multimedia presentation (i.e. Prezi or PowerPoint), project/portfolio (1/2 inch binder) or display.
1. What is the name of the employer at which you will perform your externship?
2. Describe the goals for your externship project and define anticipated outcomes with respect to
program curriculum and/or instructional delivery.
3. State the anticipated benefits to your students.
4. Define the anticipated benefit to the host employer.
5. Have you made initial contact with the employer yet?
________________________________
LBCC Applicant
_____________________
Date
______________________________________
_____________________
Date
Program Director
Externship submissions will be evaluated via the attached rubric, creativity and out-of-the-box thinking is encouraged.
Please return completed application and all required materials to Michelle Whitfield.