LA 495 Student Information Form

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This form is to be used only for students who are applying to enroll in LA 495, non-departmental sections 0011/0013/6011/6013.


**NOTE (effective January 2020): 

Undergraduate and graduate students, whether University personnel or otherwise, are not permitted to receive academic credit for any work, research, or activity in violation of federal law, including work associated with marijuana.  Employers involved in the hemp industry, however, may recruit students for both non-credit and credit bearing positions. It is the students' responsibility to share with the internship supervisor if their position is related to working with marijuana.

Student Information
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Internship Site Information
Internship Information
Semester of Internship   Select the semester for which you are requesting registration.

Internship Begins   Enter the date that the internship is to begin.
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Internship Midpoint  
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Internship Ends  
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Compensation Type  

Internship Type  

How can you be contacted during your internship?
Internship Supervisor Information
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