Internship Contract

Student Name:*
First Last
BU ID #*
What is your section?*
- Advertising
- Media Science
- Public Relations
Please indicate the semester during which you will be interning:*
- Fall
- Spring
- Summer
Please indicate your academic program level:*
- Undergraduate
- Graduate
Choose one:*
- 2 units
- 4 units
Local address*
Street Address Address Line 2 City State ZIP Code
Telephone:*
Email*
Name of Interning Sponsoring Organization:*
Name and Title of Supervisor:*
First Last Title
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone:*
Supervisor Email:*
Description of Intern Responsibilities:*
Internship Start Date:*
MM slash DD slash YYYY
Internship End Date:*
MM slash DD slash YYYY
Work Schedule (Days/Hours):*
WIll you be working remotely (from home or the BU campus) or on-site (at the organization's offices)?*
- Remote
- On-site
- Hybrid
*
- For undergraduate students: I certify that I am in good academic standing, and have successfully completed CM331, AND either CM 215 (for public relations students), CM 217 (for advertising students), or CM 280, CM 434, CM 481, CM 535, or CM 539 (for media science students)
- For graduate Students: I certify that I have successfully completed at least one semester of course work (two for international graduate students), and CM 701 (for public relations students ONLY)
Date:*
MM slash DD slash YYYY