JMU Political Science Department
GRADUATE INTERNSHIP APPLICATION, Page 1 of 2
 
Before beginning any internship for which you wish to receive academic credit, you must:
  1. Complete this application and submit it to the faculty internship coordinator. Please complete both pages of this application.
  2. Obtain index number from faculty coordinator in order to register for appropriate internship course.
  3. Register and pay for internship credit.
 
Check semester you plan to do internship and fill in year:
  Fall
  Spring
  Summer
   200___
 
Student's
Name		 ID#
Student's Local
Address
 		 Local
Phone		 Email
City
 		 State ZIP
Student's Permanent
Address
 		 Permanent
Phone		 Email
City
 		 State ZIP
Student's Anticipated
Address During
Internship		 Anticipated
Phone		 Email
City
 		 State ZIP
 
 
Courses completed as prerequisites for internship:
1. 4.
2. 5.
3. 6.
7. 8.
 
PLEASE GO ON TO PAGE TWO