Computer Industry Internship Option Application Form

All fields are mandatory STUDENT Family Name:        Given Names:  Student Number:   E-mail:             Local Address: Permanent Address (if different from local): Declared Major:  Declared Minor: Have you completed all prerequisite courses? Yes. No. If not:       When will all the courses be completed?        Check the prerequisite courses in which you are currently enrolled: Computer Science 1700 Computer Science 2710 Computer Science 2711 Computer Science 2740 Computer Science 2741 Computer Science 3718 Computer Science 3724 Computer Science 3740 Check the prerequisite courses you plan to enroll in next year: Computer Science 1700 Computer Science 2710 Computer Science 2711 Computer Science 2740 Computer Science 2741 Computer Science 3718 Computer Science 3724 Computer Science 3740 When would you be interested in starting an internship? January May September What duration of an internship period would you prefer? 8 months 12 months 16 months Please submit a Resume, Current Transcript and a one-page cover letter in which you explain your reason for wanting to undertake the Computer Industry Internship Option to: Laura Chapman, Internship Co-ordinator Department of Computer Science Memorial University of Newfoundland, St. John's, Newfoundland A1B 3X8 Tel: (709) 737-8819 Fax (709) 737-8960 Top of Form