Internship Application
Northeastern
Finance Internship (FIN 4953, FIN 4956)
Accounting Internship (ACCT 4953, ACCT 4956)
Employer Data
Company______________________________________________________________
Address_______________________________________________________________
Street
City
State Zip
Phone________________________ Fax_________________________
Email address__________________________________________________________
Intern Supervisor___________________________ Title________________________
Student Data
Name ________________________________________________________________
Address_______________________________________________________________
Street
City
State Zip
Phone________________________ Fax_________________________
Email address__________________________________________________________
Internship Data
Beginning and Ending dates of work________________________________________
Work Schedule (circle appropriate days) M T W Th F Sa Su
Hours to be worked ____________________ Salary/Wage_____________________
Internship course number________________ Semester________________________
GPA____________ Total hours completed_____________
Courses completed in the major (titles and course numbers):
Detailed job description (use a separate sheet of paper if necessary):
Are you currently employed by your internship employer?________ Yes________No
If you answered “yes” to the above question, then your internship must involve new learning experiences and an expanded job description. In the space below, describe how the proposed internship will provide the required new learning experiences. In addition, describe how the proposed internship represents an expanded job description. Use a separate sheet if necessary.
Approved by:
_____________________________ _____________________________
Department Chair Date Intern coordinator Date
_____________________________
Student Date