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Internships

Posted: Aug 22, 2009 11:37 AM
Updated: Oct 20, 2011 12:15 PM

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Internship Application
Request for: Spring [ ] Summer [ ] Fall [ ] Year____________

Student’s name: ___________________________________

Address:_________________________________________
City_______________State______________Zip_________

Phone: ________________ Cell _______________________

Email: ____________________________________________

College/University: ___________________________________

Class (circle one): graduate, senior, junior, sophomore, other

Graduation date: ______________________
Overall GPA: ______________________

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:

COURSE GRADE COURSE GRADE

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)

____________________________________
Signature of Faculty Sponsor Date
____________________________________
College / University
____________________________________
Street Address

____________________________________

City State Zip

Intern’s start date: ___________ Intern’s end date: ____________

Indicate Intern’s weekly schedule:
Mon [ ] Tue [ ] Wed [ ] Thu [ ] Fri [ ]

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: ________

Please mail to:

News Director
News 5
530 Communication Circle
Colorado Springs, Colorado 80905

Upon completion of this application, you will be notified via phone or email of an interview date.

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