Test View of Student Form - Communication Internship Program

Communication Internship Application - Summer 2023
Be sure to fully read and understand the "Getting Started" and "application" sections of the Communication Internship site before completing this application.
BEFORE YOU GET STARTED
By checking the box below, I confirm that I have or will have successfully completed the class 04:192:200 Communication Theory before the start of the semester in which I plan to enroll in the internship course. *
PERSONAL INFORMATION
First Name: *
Middle Name/Initial:
Last Name: *
RUID: *
NetID *
Address *
City *
State *
Zip Code: *
International Address or Additional Information:
Telephone Number: *
E-mail *
Re-enter E-mail: *
Applying For: *
Specialization:
By checking the box below, I confirm that I have successfully completed Internship in Communication (04:192:369) prior to applying for Internship in Communication II (04:192:370)
By checking this box, I confirm that I have an overall GPA of 2.5 (or higher). If I leave this box unchecked, I must attach my unofficial transcript and a letter explaining why I should be accepted into the internship program with an overall GPA lower than 2.5.
Attached Letter
Unofficial Transcript
COMPANY DETAILS
Company Name: *
Company Address: *
State *
Zip Code *
Supervisor's Name: *
Supervisor's Position: *
Supervisor's E-mail: *
Re-enter E-mail: *
Supervisor's Phone Number: *
Start Date: (DD/MM/YY) *
End Date: (DD/MM/YY) *
Hours/Week: *
Total Hours: *
Position Title: *
General Professional Domain of the Internship: *
Brief Description of Duties: *
Note that all supervisor letters must follow the guidelines found at: commintern.rutgers.edu/how-to-offer-internships-to-our-majors/
Attached Supervisor's Letter: *
What type of internship is this (Paid/Unpaid) *
If this is an unpaid internship, then does the organization indicate in their internship offer letter that the organization is in compliance with the federal regulations for an unpaid internship? (See link: www.dol.gov/whd/regs/compliance/whdfs71.htm) *
Digital Signature
I, the person whose name is listed above, sign this document by checking the box below and agree that:
- I am submitting a complete application form
- This is the final submission of the application form and I will no longer be able to make changes after submission
- I confirm that the information I have submitted on this form is correct to the best of my knowledge.
Digital Signature *

Communication Internship Application - Summer 2023