CSB Home \ Internships \ Application Form

Please fill in the form below and click on the Submit button at the bottom of the page


Name (First):
Name (Last):
PeopleSoft Student ID:
Address:
City:
State:
Zip Code:
Phone:
Email:
Option:
GPA:
Expected Graduation:
Skills Inventory
List computer skills you feel accomplished in:

List foreign languages you speak or write fluently:
List the upper division courses you have completed in your option:
Career Goals
What industry (ies) are you interested in?
What are your career goals after graduation?
I certify that the above information is accurate and that if I obtain an internship through the Internship Partners Program, I will enroll in the 195 course appropriate for my major. I understand that the 195 class is a CR/NC course and that I will be required to perform a minimum of 150 hours at the assigned workstation, in addition to fulfilling the other requirements of the 195 class as indicated on the Internship Requirements Contract.
Today's Date: