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Student Internship Program Application Form  Once the Student Internship Program Director has received your application form, it will be sent on to your department Internship Coordinator, thus it is extremely important for you to fill out the below Departmental Faculty Internship Coordinator/Sponsor information. There is also a PDF version available, you will need Adobe Acrobat Reader free software in order to view and print the PDF form. *Application deadline is on Friday, one week after the beginning of each semester, or until positions are filled. If you need any other assistance in filling out the below form, please contact the DLUS Student Internship Program Director or call 956-5662. Student Information Application Date First name Last name Email Telephone Present Address Present Address is Current Until Academic Information Current School Standing: Graduate Undergraduate Department Major or Degree Graduation Date Current GPA Internship Information Internship Sought: ITV DMC WebCT(TA) WebCT(Intern) For Term: Spring Fall Department Faculty Internship Coordinator/Sponsor(if using for graduation requirements) Faculty Email Faculty Phone Title of Course Internshiop credit is designed for Credits Assigned for Internship Completion Hours Per Week Duration(beg. and end dates) Please have your coordinator forward/attach any other required internship specification that would be beneficial to DLIT and the success of the internship process to the Student Internship Director Experience, Skills, and Knowledge Information In the space below, please list any previous teaching or TA positions you may have had: In the space below, please list technical and computer skills you may have:*required field In the space below, please list any computer software applications that you consider yourself proficient in, such as Dreamweaver, Adobe Photoshop, etc:*required field In the space below, briefly describe your career goals and how this internship will help achieve those goals:*required field In the space below, please list relevant courses you have taken that would aid in the internship position:*required field In the space below, briefly describe additional skills, activities, and or other experiences that are relevant to your desired internship selection: Apply Now?     TALENT | Computers and Disabilities | Interactive Television | Presentations and Campus Visits | Satellite Teleconferences | Skill Workshops | TALENT101 Fall and Spring Maintained by: Linda Mcconnell Copyright © 1997 University of Hawaii Last Reviewed: 1/20/02