ECON 199: Internship in Economics Application Form Students may enroll in ECON 199: Internships in Economics with the approval of the instructor once they have secured an internship which relates to the field of economics with an aim to enhance the curriculum and academic experience of the program. Economics is a broad discipline and may lead to many careers within the public and private sector, so internships may vary, but should have some component of economics. Internships are an integral part of the educational experience and essential for future careers as they provide practical work experience, references, and a better understanding of the field of economics and how education may be utilized. This class is entirely online using Moodle (learn.illinois.edu) so please make sure you have access to a computer and internet throughout the internship. Detailed information and assignments will be provided to you prior to the course beginning. The course has a 0-credit or 3-credit option. The 3credit option will have more coursework involved. The course is graded on a Satisfactory/NotSatisfactory basis, and hours do not count towards hours in economics, but may count towards your overall hours (they fall within the Independent Study credit). To receive permission to enroll in ECON 199, please complete and submit this form along with your Internship Offer Letter to: Melissa Newell 214 David Kinley Hall (DKH), MC-707, 1407 W. Gregory Department of Economics, College of Liberal Arts and Sciences CPT: Students who are on an International Visa must apply for CPT through ISSS. Please fill out the CPT form and turn in with your application and internship offer letter to Melissa. Student Information. Name (First Last): Click here to enter text. UIN: Click here to enter text. Major: Click here to enter text. Expected Graduation: Click here to enter text. Phone Number: Click here to enter text. University Email: Click here to enter text. Internship Information. Organization Name: Click here to enter text. Supervisor Name: Click here to enter text. Address: Click here to enter text. Phone Number: Click here to enter text. Email of Supervisor: Click here to enter text. Dates of Employment: Click here to enter a date. Until Click here to enter a date. 4/14MN University of Illinois at Urbana-Champaign · Department of Economics · Undergraduate Studies 214 David Kinley Hall (DKH) · 1407 W. Gregory Dr., Urbana, IL · 217.333.2682 · econug@illinois.edu http://www.economics.illinois.edu/programs/undergrad/ Please describe how this internship is related to Economics. Click here to enter text. Please check all which are relevant to you. 0-Credit Hours: ☐ 3-Credit Hours: ☐ ECON 199 is a requirement for CPT: ☐ ECON 199 is a condition of employment: ☐ By enrolling in the ECON 199 Internships in Economics course, I agree to the following (please initial): Tuition and student fees are assessed for this course: Click here to enter text. Notifying Melissa if the internship/position changes: Click here to enter text. Student Signature Date For ECON Office Only: ECON 199 Instructor Signature Date Term: _____________________________________ CRN: ______________________________________ Override Provided: ☐ 4/14MN University of Illinois at Urbana-Champaign · Department of Economics · Undergraduate Studies 214 David Kinley Hall (DKH) · 1407 W. Gregory Dr., Urbana, IL · 217.333.2682 · econug@illinois.edu http://www.economics.illinois.edu/programs/undergrad/