CAREER SERVICES INTERNSHIP
Applicant Name: G Number:
Major: Expected Graduation Date:
Will you receive any pay (hourly wage OR stipend) from the organization? Yes No
Name of Internship Organization:
Name of Internship Supervisor:
Supervisor’s Phone Number:
Supervisor’s Email Address:
Internship Start Date:
Expected End Date:
Average number of hours you will work each week as an intern:
Academic department through which you will receive credit:
Name of your faculty internship coordinator:
Have you already registered to receive credit for this experience? Yes No
How did you find your internship?
Specifically describe how this internship relates to your degree/major area of study (attach
separate page if necessary):
Please attach a copy of your résumé AND a copy of your internship job description OR learning
objectives and email them along with this completed application to firstname.lastname@example.org. Contact
Career Services with any questions at (616) 331-3311 or email@example.com. CONSIDERATION WILL
NOT BE GIVEN TO INCOMPLETE APPLICATIONS. *The application deadline is the first day of
the second week of classes for the semester in which you are completing your internship. *NOTE: If
you are completing a Spring or Summer semester internship, applications are due the first day of the
second week of classes of the Spring Semester.
By submitting this application, I understand and authorize Career Services to access my Financial
Aid information. Financial Aid information is part of my educational record.
I understand further that (1) I have the right not to consent to the release of my education records; (2)
I have the right to receive a copy of such records upon request; (3) and that this consent shall remain
in effect until revoked by me, in writing, and delivered to GVSU, but that any such revocation shall
not affect disclosures previously made by GVSU prior to the receipt of any such written revocation.
(if box is not checked, full consideration cannot be given to your application).
I have read and agree with the above statement: