UNIVERSITY OF WISCONSIN River Falls

Internships

Internship Application

Application for Admission

Criminology and Sociology

Internship and Certification Programs

You are required to submit the online application form below BEFORE making contact with any internship agencies.

Falsification or omission of information relevant to these questions, as well as arranging an internship prior to completing this application, may constitute grounds for denying your admission.

If circumstances occur that would change any of your initial responses on the application when submitted, you must inform the Internship Coordinator.

Name*

w#*

Email*

Cell phone*

Date*

mm/dd/yyyy

Local address during internship*

Major*

Number of MAJOR credits completed*

Minor*

Number of MINOR credits completed*

Total credits completed by end of current semester*

Expected year of graduation*

Expected semester of graduation*

Fall

Spring

Summer

Select internship*

CRIM 379-Internship in Criminology

SOCI 379-Internship in Sociology

Expected start date of internship*

mm/dd/yyyy

________

In case of emergency, contact: Name*

Phone*

Relation to you*

________

Will you be employed during the semester of your internship?*

If yes, specify employer and hours per week

________

State your learning objectives*

State your career objectives*

________

Do you have a particular impairment?*

If yes, futher explain what accommodations may be needed

List additional remarks

By clicking SUBMIT, I certify that to the best of my knowledge the information provided in this form is true and correct. I hereby agree to provide additional information as requested and necessary to assure a quality internship experience and to allow the above information to be sent to the agency representative for my internship, if requested.

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University of Wisconsin-River Falls · 410 S. 3rd Street, River Falls WI 54022 USA · Campus Information 715-425-3911