Internship Placement

First Name:

Last Name:

UA-PTC Student ID:

UA-PTC Student E-mail:

Phone:

Year in School:

Program of Study:

Concentration:

Program or Academic Advisor:

Please list your Top 3 Industry preferences:

Example: finance, cybersecurity, digital marketing, etc.

Term/Year for Internship:

Number of hours available to work per week:

Do you have reliable transportation?

Are you seeking college credit for this internship?

While we prefer students to be paid for their time and labor, we understand that some opportunities and industries are unpaid. Are you open to unpaid internships?

What Languages are you proficient in?

Are you allowed the legally work in the U.S.?

Is there anything else we need to know prior to placing you in an internship?