To receive institutional support for a communication internship, including receiving academic credit and meeting the department’s internship requirement, students must complete this form. All fields are required.

Your name:

Your email:

Your Valpo ID number:

Name of company that you will be working for:

Name of internship supervisor at company:

Email address of internship supervisor at company:

In which semester will your internship occur? FallSpringSummer

I have read and understood the internship requirements and deadlines.

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