Internship Application

Name: _______________________________________________________________
Current Address: (Until when?) ______________________________________________
City: ___________________________ State: _______________ Zip: __________
Current phone number: ____________________________
Permanent phone number: ____________________________
email: _________________________________________________
Area of internship: (Be specific) __________________________________________
Semester: (Fall/Spring/Summer) ________________________________ Year: __________
College: ________________________________________________________
Major: _____________________________________
Current year level: (Junior/Senior/Graduate) _____________________  
Course title, if receiving credit Credit hours assigned:
_____________________________________
Faculty sponsor phone number:
___________________________
Faculty sponsor signature and title:
________________________________________
  ________________________________________


Mail application to:


Internship Coordinator
N.C. Museum of Natural Sciences
11 West Jones Street
Raleigh, NC 27601-1029