Qualtrics Survey | Qualtrics Experience Management

Student's First Name*

Student's Last Name*

Student's KU Email Address*

Student's Major*

Student's On-Campus Internship Site*

Student's Site Supervisor*

Site Supervisor's Email Address*

Internship Start Date*

Internship End Data*

Number Hours Per Week Student Will Be Interning*

Provide an internship description outlining your specific projects, responsibilities and/or tasks*

Please attached the completed learning objectives and signed learning agreement (pdf., doc., or docx.)*

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