College of the Liberal Arts

Person Submitting Request*

Person Submitting Request Email*

Student's Last Name*

Student's First Name*

Student Identifiction Number*

Student's Major*

As of Summer 2008 all sections of LA 495 will start with a "6" to designate a C & I course.

Department (Section of LA 495)* CLJ - Sec 602 SOC - Sec 603 ENGL - Sec 604 ENGL - Sec 604A GER - Sec 605 HIST - Sec 606 CAS - Sec 607 CMLIT - Sec 608 CLS - Sec 608A JAPNS - Sec 609 CHNS - Sec 610 KOR - Sec 611 ARAB - Sec 612 J ST - Sec 613 RL ST - Sec 614 SPAN - Sec 615 WMNST - Sec 616 LSIR - Sec 617 PL SC (DC) - Sec 618 PL SC - Sec 618A BUSLA - Sec 619 FRENCH - Sec 620 LING - Sec 621 RUSS - Sec 622

Semester of internship* FA08 SP09 Number of credits* 1 2 3 4 5 6 7 8 9 10 11 12

Start date of internship* End date of internship*

Organization sponsoring the internship*

Internship site supervisor*

Internship instructor (faculty member grading assignments)*