| Student’s Name: | |
|---|---|
| SE ID (SO#######): | |
| Local Address | |
| Local Phone | |
| Expected Date of Graduation |
|
| Semester you desire an internship/practicum |
|
| Type of internship/ practicum you desire |
|
| Preference of internship/ practicum location |
|
| Hours completed toward a degree |
|
| Campus GPA | |
|
Mass communication hours in option (e.g. TV/Film; Advertising) BEYOND core courses Course # Title Grade Semester/Year Taken | |
| Mass communication GPA | |
| Pertinent Work Experience: Position Company Name/Address Dates Supervisor | |
| Special Skills (computer, FCC License, writing ability, art ability, etc.): | |
| Career Goal (list): | |