Name*   

  Major*   

  Expected Graduation: Semester*     Year*    

  E-mail address*    

  Address 

  City      State     Zip

  Phone     Cell Phone  

  EMPLOYER INFORMATION

  Internship Title*    

  (For example: Marketing Intern, Accounting Intern, etc.)

  Employer*    

  Mailing Address   

  City       State      Zip  

  Employer's Phone  

  INTERNSHIP DATES

  Start Month*        Start Year*      

  End Month          End Year         

  Have you ever used UCO Career Services? Yes         No

  (ex. assessments, resume help, mock interviews, seminars, fairs, etc.)

  Did you utilize UCO Career Services to find your internship? Yes         No

  Is this internship directly related to your major?  Yes         No

  Check Intern Wage*: $5-10 an hour     $11-15 an hour   $16-20 an hour

                                 For Academic Credit     Other

  Would you recommend this internship opportunity to another student? Yes         No

  Do you believe this internship will lead to a full-time position with the company after graduation?

  Yes         No

  Comments or suggestions: