Internship Information Form: Please complete this form if you are interested in doing an
internship for academic credit. Fill out both sides of the form. Return the form to Michael Martin at
WH210 or by e-mail (martinm@wou.edu)
Your Name________________________________________________________
Your V Number_________________________________________________________
Please Circle One: FR
SO
JR
SR
Internship Credit Hours Desired_____
Faculty Advisor: _________________________________________ Notice: It is your responsibility to
see your advisor to make sure this by arrangement class fits properly into your degree program. Initial or
check here________ to show you have read this notice.
Term preferred for internship (circle one): Spring 2016 Summer 2016 Fall 2016 Winter 2017
Current Term (circle one):
Spring 2016 Summer 2016 Fall 2016
Major:____________________
Paid Internship Only ___
Minor:____________________
OR
Paid or Unpaid Internship ___
If you already have arranged an internship please give the company name and contact information
Company Name____________________
Contact_________________________
City where the business is located___________________
Description of internship:
Telephone Number where I can reach you___________________________________
Your WOU e-mail address_____________________________________________________
Your Preferred e-mail address___________________________________________________
PLEASE CONTINUE FOR ADDITIONAL QUESTIONS
BUSINESS MAJORS ONLY: Business Classes Taken (put an ‘X’ by ones taken)
____BA211, 213 Fundamental Accounting
____BA243 Bus. Statistics
____BA315 Financial Management
____BA361 Organizational Behavior
____BA368 Operations Research
____BA490 Operations Management
____BA230 Business Law
____BA310 Principles of Marketing
____BA325 Portfolio Management
____BA367 Regression Analysis
____BA411 Marketing Strategy
____BA491 Strategic Management
or equivalent
BUSINESS MINORS ONLY: Business Classes Taken (Put an ‘X’ by ones taken)
____BA211 Accounting
____BA310 Marketing
____BA370 Business and Society
Other Business Classes Taken (or list topics)
____BA315 Financial Management
____BA361 Organizational Behavior