* Denotes Required Field.
Please complete this form as thoroughly as possible. If you have any questions as you complete the form, don't hesitate to contact Christie Hand (firstname.lastname@example.org). We may ask you to revise this application before it is accepted. This is normal. It will need to be approved by the Chief Academic Officer and your Internship Supervisor before you begin.
Date of Submission
I plan to complete my Internship in the following semester:
Anticipated number of credits
Description of internship
What is the overall goal (deliverable) of your Internship?
How much time will you spend on the internship? (Please give a weekly breakdown. You can also attach a table or spreadsheet in the upload section below).
What specific activities and benchmarks do you propose?
How will you document your activities?
What is the relevance to your community?
How is this aligned to our Program Learning Outcomes? (Choose a few out of the ten listed in our Academic Catalog - https://www.future.edu/for-students/)
Does this align with the Sustainable Development Goals? If so, how? (See https://sustainabledevelopment.un.org/ )
Requested name for transcript - SSC 697 Internship: Community Leadership (example)
Terms of Approval
Provide your email address to receive acknowledgment email along with the copy of this filled form.
I agree that by checking this box and submitting this form that all information is accurate to the best of my knowledge.