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Scholarship Criteria
STUDENT INFORMATION
Name
ID Number
Campus Address:
Campus Phone:
Permanent Address:
Permanent Phone:
Email address:
Department:
Major
Expected Graduation:
GPA:
Campus Memberships/Activities:
EMPLOYER INFORMATION
Internship Site:
Internship Title:
Address:
Phone:
Email:
Fax:
URL:
Time Frame of Internship:
Have you had any previous internship experience? If yes, briefly describe:
