Aug 22, 2009 1:37 PM
Student’s name: ___________________________________
Phone: ________________ Cell _______________________
Class (circle one): graduate, senior, junior, sophomore, other
Briefly state why you wish to undertake this internship:
KOAA-TV internships require a 15-hour per week minimum. Most of the internships require you to be here for two or three 8-hour days. (Example Tues. & Thurs. 9-5 or Mon, Wed. Fri. 9-5). Please check which days you are available to work.
Mon [ ] Tue [ ] Wed [ ] Thu [ ] Fri [ ] Sat [ ] Sun [ ]
List all related courses completed to date, and letter grades from each:
An official transcript must accompany this application for verification.
SECTION III (Faculty sponsor must complete.)
What are the learning objectives for student?
What will you expect the student to submit as evidence of the internship?
KOAA-TV internships require a minimum commitment of 15 hours per week. How many hours per week must the student work in order to receive college credits? Hours per week: [ ]
This verifies that __________________________ will receive [ ] college credits for this internship.
Does the school’s liability insurance cover this student while he/she is performing field study for KOAA-TV in exchange for college credits? Yes [ ] No [ ] (If not, application cannot be accepted)
City State Zip
Intern’s start date: ___________ Intern’s end date: ____________
The help we receive from student interns is a privilege, and not an entitlement. The relationship enhances the efficiency of the station. In return, we have an obligation to give back to the students a unique career experience of equal value (at least) to the effort they invest. I have read and understand the Intern Supervisor Requirements and Intern Policy stated above.
Intern Supervisor’s signature: ___________________________ Date: ________
Upon completion of this application, you will be notified via phone or email of an interview date.