|
 |
University of Southern Indiana
Political Science Department
|
|
Application for Approval
Internship with Attorneys Program
_________ Date of Application
Personal Data
__________________________________________________________________________________
Last Name
First Name
SS#
Phone
e-mail
address______________________________________________________________________
__________________________________________________________________________________
Local/Permanent Address [circle one]
City
State
Zip Code
I understand the requirements and guidelines for this internship and agree to observe them if I am accepted.
____________________________ Signature of Applicant
Eligibility Requirements
Major(s)______________________________________________Minor_________________________
Semester Hours Completed__________GPA Overall_________GPA in Major_______
List Political Science Courses Completed:
___________________________________________________________________________________
___________________________________________________________________________________
Placement
Prospective
Employer_________________________________________________________________
Description of
Position________________________________________________________________
___________________________________________________________________________________
Approval of Political Science Faculty
_______________________________________________ ______________________
Faculty Internship Advisor
Date Approved
Please mail to:
Dr.
Julie Evey-Johnson, USI, College of Liberal Arts, 8600 University Boulevard,
Evansville, IN 47712 |
