Fordham University            The Jesuit University of New York
 


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Internship Placement Form









Internship Placement Form

You must complete this form upon obtaining an internship*
**This Form Is Not For Credit But For Placement
STUDENT INFORMATION
Name
Fordham ID #
-
LOCAL ADDRESS  PERMANENT ADDRESS
Check if same as local
Street or Residence Hall
City
State
Zip
Phone
- -
Street
City
State
Zip
Alternate Phone
- -
Fordham Email
Major
Campus:
FCRH     FCLC     PCS    
GSB       GSAS    
Graduation Date
Please also include one EMERGENCY CONTACT:
Name
Phone
- -
ORGANIZATION INFORMATION
Organization
Department
Supervisor
Supervisor's Title
Address:
City
State
Zip
Email
Phone
- -
Fax
- -

For Students Receiving Internship Credit (NOTE: If your internship is UNPAID, you MUST OBTAIN CREDIT. Speak to your Dean).
Is this an internship for Credit? Yes     No
   
Arrangements have been made for to receive academic credit by enrolling in the with professor/Dean at Fordham University for her/his participation in an internship at the organization named above during the semester.
 
This internship starts on
Select Date  
and ends on
Select Date
 
WORK SCHEDULE
Note: *Interns follow the organization’s holiday schedule, not that of the University (ie. time off for school breaks need to be arranged with the supervisor).
Sun.
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
 
If you need a credit letter for your employer, ram van passes, or have any additional questions please contact Career Services at (718) 817-4350 or visit www.fordham.edu/career and click on Internships.  
    
 

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