THE LONG SCIENCE, TECHNOLOGY AND SOCIETY ENDOWED INTERNSHIP FUND 2019 Long Science, Technology and Society Endowed Internship Application Page 1 PLU ID Number: First Name: Last Name: Preferred First Name: Expected Date of Graduation: Example: May 2018 Email: Phone Number Example: 555-555-5555 Major (1): Major (2): Minor (1): Minor (2): Cumulative GPA: Example: 3.58 Are you currently enrolled at PLU?YesNo Will you be enrolling at PLU for the fall semester immediately following your internship?YesNo Are your currently on academic probation?YesNo Have you been found in violation of the Student Code of Conduct through the Student Rights and Responsibilities process during the 2018-2019 academic year?YesNo Internship Information Name of organization where you will do your internship: Example: World Trade Center, Microsoft Corporation, Department of Communication at PLU, etc. Supervisor's Name: Supervisor's Title: Supervisor's Email: Supervisor's Phone Number: Example: 555-555-5555 City: State/Province/Region: Zip/Postal Code: Country: Title of Internship: Example: Marketing Assistant, Recycling and Infrastructure Intern, Summer Research Intern If your internship is at an organization with PLU alumni, please provide his/her/their names: Will you be working a minimum of 8 weeks at your internship?YesNo Will you be working a minimum of 8 hours per week at your internship?YesNo Will you receive academic credit for your internship? YesNoIf YES, make an appointment to meet with your faculty internship advisor or Dawn Rinehart, Assistant Director of Career & Internship Development, for information and to ensure all registration processes are completed. Are you an international student? YesNoIf YES, please contact Heather Jacobson, Coordinator of Int'l Student Services BEFORE you submit your application to determine your eligibility. Visit next page to upload your Internship Proposal, Resume, and References. Documents (in PDF format) Internship Proposal Resume Names and contact information for 2-3 references (one of whom must be a PLU faculty member) By submitting this application, I consent to a check of my Student Rights and Responsibilities file to determine my eligibility for this internship opportunity. If you have been found in violation of the Student Code of Conduct within the past academic year, have been or currently are on Disciplinary Probation during your tenure at PLU, or are not in Good Standing with regards to Student Rights and Responsibilities you will be excluded from consideration for this internship opportunity. Need assistance with this form? FAQLearn more about this Internship Fund.Click here.Application ChecklistEnsure you complete all steps necessary to apply.Click here.Submit Your ApplicationClick here to access the online application form and upload the required documents.Click here.