Continuing Internship Application

Instructions: Applicants must be currently enrolled in a minimum of 6 units of undergraduate courses or 4 units of graduate courses at CSU, Chico and be in good academic standing. Students on academic probation are not eligible to apply. In addition, applicants must have completed a minimum of one year of undergraduate study by the start of the internship.

Refer to www. csuchico.edu/chc/internship-opportunities/index.shtml for application deadlines. Submit completed applications with a resume via e-mail to [email protected] or physically drop off at the CHC office (25 Main St., Suite 101) by the specified deadline. For questions, please contact Emily Foxworthy at [email protected]. Personal Information: Name: Phone Number:

CSU, Chico Student ID #:

Current Address:

Portal Username: @mail.csuchico.edu

Major: Minor: Advisor:

Student Status (undergraduate or graduate):

Expected Graduation: Month Year

Do you have any special skills that we should be aware of? (e.g. bilingual, computer software experience, etc.) Previous Internship Information: Semester(s): Completion Date:

Units Completed: 90 hrs (2 units, 6-8 hrs/wk) 300 hrs (for HCSV majors only)

135 hrs (3 units, 9-12 hrs/wk) SWRK Seminar (for SWRK majors only)

Supervisor:

Briefly describe your internship projects/experience:

(Continue on next page) Internship Application

Applying For/Intention to enroll in units: Semester: Year: Commitment 90 hrs (2 units, 6-8 hrs/wk) 300 hrs (for HCSV majors only) Level: 135 hrs (3 units, 9-12 hrs/wk) SWRK Seminar (for SWRK majors only) Other: Are you applying to continue with a similar or different internship experience? Please explain:

For Future Employment: CHC requires all students to do a minimum of 135 internship hours in one semester or 90 internship hours each semester for two semesters to be eligible apply for paid student employment. For the purposes of CHC, summer is also considered a semester. Availability Information: Do you have a car (circle one)? YES NO Are you willing to travel? YES NO

Would you consider applying for a paid position in the future?

Are you able to work on weekends? Availability Information: Please mark when you are available with an “X”. Open spaces = Unavailable

Monday Tuesday Wednesday 9-10 am 10-11 am 11-12 pm 12-1 pm 1-2 pm 2-3 pm 3-4 pm 4-5 pm Evenings

Anything else we should be aware of: Internship Application

Signature: Date:

Interns provide essential services to many of the CHC programs. Thank you for your interest.