CE Internship Request Form

CE INTERNSHIP REQUEST

FIRST: Please review this form before you begin to input information to ensure that you have all of the necessary documents and information for completion. If you have any questions please contact Logan Vess at the Center for Career Services Email: LVESS@jcu.edu or 216-397-4237.

PLEASE NOTE

You must complete this form and meet with Logan Vess at the Center for Career Services after submission in order to enroll in the CE internship course. Absolutely NO enrollment for previously worked internships is possible.

Required Documents

NOTE: In order to receive approval for your internship, you must submit the following required documents 5 business days prior to the add/drop deadline for the semester you wish to enroll in the CE course. For information the add/drop deadline please visit: http://sites.jcu.edu/registrar/pages/f-a-q/course-schedule-information/

Please click HERE for The Learning Agreement and Learning Objectives Worksheet. Once completed, please submit below.

Internship Learning Agreement and Learning Objectives

To access these forms please click the link above.

Please upload 1) the Learning Agreement with signatures from you and your supervisor, and 2) the Learning Objectives for the internship experience that were created and signed by you and your supervisor. Unsigned and/or missing documents will NOT be accepted for enrollment.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Job Description

Please upload an offical job description.

One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Student Information

Banner ID:

Name

Re-order	First	Last	Weight	Operations
	First	Last	Item weight

Confirm Email

Phone

Are you an International student?

Yes

GPA

GPA must be 2.2 or above to apply.

Internship Term

The add/drop deadline for Summer 2019 has closed as of May 17, 2019.

Year

Please note the add/drop deadline applies to internship courses. For more information please visit the University Event Calendar.

Which course are you applying for?

Please note that course credits come with the same costs as a for-credit course. 0 credit option is free.

Level

What is your major?

Expected Graduation Date (Month):

May

August

December

Expected Graduation (Year):

Organization Information:

Organization:

Non-Profit

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Supervisor Name:

Title:

Phone

Position

Student's Title

Compensation

Unpaid

Stipend

Hourly Rate

Hourly Rate or Stipend Amount

Start Date

Enter Start Date

End Date

Enter End Date

Expected Hours Per Week

After clicking SUBMIT you must schedule an appointment to meet with Logan Vess at the Center for Career Services to complete enrollment. You will not be enrolled by only submitting this form. You will receive an email with a link to schedule an appointment.

I understand

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