Computer Industry Internship Option

Department of Computer Science
* indicates a mandatory field

Students are required to register every semester during their internship. Please be sure to do so before the course registration deadline. Fees must be paid in accordance with University regulations. The course number is CS 3700.

The following is required to confirm acceptance to your internship. The information provided will be used for correspondence during the work term. Please complete this form and forward it after you have accepted an internship offer.

Student's Section
STUDENT

Family Name:      * 		Given Names: *
Student Number: * Position Title:  
Grs Mthly Salary: 
Work Mailing Address:
Work Tel:       Work Fax: 
Work E-mail: 
Employer's Section
COMPANY/ORGANIZATION

Name:                  *
SUPERVISOR

Family Name:     * 		First Name:       *
Supervisor Title:  Supervisor Tel: 
Supervisor
E-mail:                 		Date:                 
Confirmation of Acceptance

"I accept the internship described above and understand that I am commited to completing this internship as described"            
Start Date:              * End Date: *
Confirmation Date: *


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