ASU College of Engineering & Applied Sciences



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FSE 484 Internship Application

Application

Experience in industry is an important part of an engineering education. The Fulton Schools of Engineering is pleased to facilitate internship opportunities through the Fulton Schools Career Center for Fulton students who meet the criteria noted on the application and who otherwise cannot take advantage of xxx 484 within their school or other relevant course.

If the student begins an internship, it is expected, barring personal emergencies, that they will complete the semester's assignment in its entirety and to the best of their ability.

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Fulton Schools of Engineering Career Center Information

Mailing Address: Physical Address:

Arizona State University Centerpoint Building Suite 107

P.O. Box 875811 660 S. Mill Avenue, Downtown Tempe

Tempe, AZ 85287-5811 Web site:

Phone: 480.965.2966 Email: engineering.careers@asu.edu

For privacy information, please visit or

Contact the University Registrar’s Office at 480.965.3124

Please retain this page for your records!

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FSE 484 Application

Last Name:       First Name:       Middle Name:      

Your major:      ASU Affiliate ID# (starts with 100 or 120):      

Expected Graduation Date:       Degree sought: B.S. B.S.E.

Citizenship (Country):       Visa Status:       Are you a permanent US resident? Yes No

Street Address:      

City:       State:       Zip:      

Home phone:       Work/Other Phone:       Email:      

Current ASU Cumulative GPA:      

Are you currently employed by the company where you have an internship? Yes No

Company Information

Company Name

Location:

Supervisor’s Name

Supervisor’s Email

Supervisor’s Phone number

Internship Title

Internship Start Date Internship End Date

# Hours per Week

Are you currently on academic probation?      

Do you have a current or unexpired Student Code of Conduct or Academic Integrity violation?      

Have you ever had a Student Code of Conduct or Academic Integrity violation?      

If yes to any of the 3 above questions, you will be asked to provide more information.

Experience in industry is an important part of an engineering education. The Fulton Schools of Engineering is pleased to facilitate internship opportunities through the Fulton Schools Career Center for Fulton students who meet the criteria noted on the application and who otherwise cannot take advantage of xxx 484 within their school or other relevant course.

If the student begins an internship, it is expected, barring personal emergencies, that they will complete the semester's assignment in its entirety and to the best of their ability.

|Undergraduate Student: |

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|No Yes Does your program offer an internship course? |

| |

|No Yes Are you eligible for your program’s internship course xxx 484? |

| |

|No Yes Are you eligible for other course credit for this internship? |

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|Yes No Are you currently enrolled full-time as an undergraduate student at Arizona State University? |

| |

|Yes No Have you been admitted to the Ira A. Fulton Schools of Engineering? |

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|Yes No Do you have an overall GPA of 2.5 or higher at ASU? |

| |

|Yes No Once selected for internship, do you agree to not be otherwise employed on or off campus without |

|prior approval from the Internship Coordinator? |

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|Yes No Can you intern 20 hours a week in Spring/Fall and 40 hours a week during Summer? |

| |

|Yes No Do you understand once you sign a company’s offer letter and you register for FSE 484, that you cannot consider other |

|opportunities until after your internship is completed. |

This application will be considered valid for one semester only. If the student begins an internship, it is expected, barring personal emergencies, that he/she will complete the semester's assignment in its entirety and to the best of his/her ability. The applicaton will not guarantee an internship for any student. Students who fail to perform satisfactorily in school or the internship may be removed from the program.

To the best of my knowledge, the information contained in this application is true and accurate. I have read, understand, and agree to the rules and requirements stated above. I understand eligibility for the internship program will be verified through University records. By signing below I consent to the Fulton Schools of Engineering Career Center’s release and use of any FERPA-protected education records information for the purpose of coordinating internships. In addition, I understand that if I am signed to an internship, I will complete all of the required hours by semester’s end, which is generally 360 hours in the Spring and Fall semesters, and 480 during Summer. If I fail to meet this obligation, I understand that I may forfeit future internship opportunities through the Career Center.

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Signature Printed Name Date

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