Internship Contract Form
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Your Info
First Name
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Last Name
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VU ID#
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Class Rank
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Indicate your class rank as of the current semester.
Select one...
Sophomore
Junior
Senior
Department
Select your department.
Business
Communication
Concentration
*
Select one...
Film & Visual Storytelling
Communication Studies
Public Relations
Technology and Emerging Media
Health Communication
Major
*
Select one...
Accounting
Business Administration
Marketing
Email
*
Please enter an email address you regularly check. All communication about your internship will be sent to the email you provide. You are responsible for checking your email and responding promptly.
Enter Email
Confirm Email
Account Password
*
When you submit this contract, you will receive a confirmation email that will include a link to a personal internship management page. You will be able to submit/log your hours, fill out the required evaluation forms, and see the status of your internship. Please choose a secure password for your page. You will not be able to change this later.
Internship Details
Semester/Term
*
Choose the semester in which you will complete the internship hours.
Fall
Spring
Summer
Year
*
Enter the year in which you will complete the internship hours.
Internship Units
*
Enter the number of units you wish to register for. Each unit equals 50 hours of work.
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Faculty Advisor
*
Select your faculty advisor. All internships must be approved and supervised by a faculty member. Choose Dr. Carmody if your concentration is Interpersonal/Intercultural or Public Relations, choose Professor Kasa if your concentrations is Cinema/Film or Tech & Emerging Media.
Select an advisor
Jessica Woolworth
Naomi Kasa
Employer/Company Name
*
Enter the name of the company or organization where you have secured your internship.
Internship Type
*
Fully remote internship
In-person internship
Hybrid internship (some in-office, some WFH)
Internship Classification
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This is for data collection purposes only. Internships can be paid or unpaid.
Unpaid
Paid
Other
Employer/Company Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employer/Company Phone
*
Supervisor Name
*
Enter the name of the person who will be directly supervising you at your internship.
Supervisor Email
*
Enter Email
Confirm Email
Internship Start Date
*
Enter the approximate date when you will start your internship.
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Year
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Hours Contracted
*
Enter the number of hours you are contracted to work each week. If your employer has given you a range, use the average or median number.
Description of Internship Job Requirements & Duties
*
Acknowledgement
*
I certify that all of the submitted information is true and correct, to the best of my knowledge.
Phone
This field is for validation purposes and should be left unchanged.
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