School of Communication + Journalism Registration FALL 17 SCJ

Internship Program Form- Department of Journalism + Media

First and Last Name
Email
Panther ID
Major

Major Advertising Public Relations Communication Arts Journalism Digital Media Broadcast
Class standing

Class standing Freshmen Sophomore Junior Senior
Number of hours working per week
Short summary of how the internship relates to your major
Host Organization
Name of supervisor
Contact information of supervisor
Faculty Internship Advisor
Payment (state specific amount)
Minimum number of on-the-job hours to earn credit
How many weeks long is the internship:
Number of credit hours requesting:

Number of credit hours requesting: 0 1
Potential Start Date Potential Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY
Upload signed internship form

Attach Files
Upload/screen shot of your FIU transcript (include GPA, relevant courses, and credit amount)

Attach Files