2016 Summer Intern Request Form
I. Internship Information (To be completed by the Requesting Manager)
Request Date
Requesting Manager
Functional Area
Requester’s Title
Intern reports to
Supervisor’s time
commitment to mentoring
the intern (weekly)
Internship Title
Hours/Schedule
Scope:
Briefly describe the project
and the role the intern will
play
Skillset needed:
List all skills required for
position (ex: languages,
project mgt experience,
etc…)
II. Additional Internship Details
Start date
June 6, 2016
End date
August 19, 2016
List any resources needed
Additional Comments
Approval Process
Intern Requester  Director HR Manager Senior Directors  Head
of IS&T