Intent to Intern Online Form Intent to Intern Internship courses offer a culminating experience for majors and minors in their junior and senior year. Students work in professional settings related to the field under the supervision of the Internship Coordinator. Individual enrollment. Pass/No Pass credit. Name* First Last PSU Student ID #:*PSU Email Address* My GPA is equal to or exceeds the minimum GPA required:*Refer to individual course prerequisite for minimum GPA requirement. (Note that you will be unable to move forward without completing the required prerequisites and checking yes). Yes No Have you completed all prerequisites to participate in desired internship? (i.e. ALL upper-level coursework required by internship course description)*If you are unsure, please refer back to the internship course description list. (Note that you will be unable to move forward without completing the required prerequisites and checking yes). Yes No Major* Business Communication Studies Education English Writing Environmental Planning Geography Graphic Design Studio Interdisciplinary Studies Music, Theatre, and Dance Women's Studies Council Minor/Concentration (if applicable):Faculty Advisor:*Name & DepartmentHave you found an Internship? Yes No Is your proposed Internship Paid or Unpaid?* Paid Unpaid Name of Employer/Internship Hosting Site:*Have you contacted your department Chair or your discipline's academic advisor?You will not be able to move forward with this form without first informing your Chair. Yes No Desired timeline of internship:Note that an internship completed OUTSIDE of Spring and Fall semesters will not be supported by tuition (winter/summer internships typically cost $500 per credit)FallWinterSpringSummerYear of Desired Internship:What year would you like your internship to take place (current or future)?Scope of desired internship:What kind of internship are you interested in doing?How many credits do you wish to earn?*Note: 40-hours of work experience (documented) is equal to one credit.