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Junior Senior Local Phone Full-time Part-time Major Overall G.P.A. Expected Graduation Are you currently a citizen or permanent resident of the United States? If you are not a citizen or Permanent resident: Is the work-authorization form, provided by the International Student Advisor, attached? yes no yes no Internship Information Company Contact Phone Term Internship Course to appear on Schedule Fall Spring Course Hours Requested 1.5 3.0 Internship Start Date: E-mail Summer.

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