APPLICATION FOR INTERNSHIP

(FORM A)

Rogers State University

School of Business and Technology

Department of Business

Department of Business students at Rogers State University are encouraged to fulfill a minimum of 150 hours of practicum experience before they graduate. The Agency (cooperating organization) is expected to assign the student to a minimum of three different areas in the Agency's operations and to complete an evaluation or progress report midway through the internship, and at the end of the internship. The student will keep a daily journal and write two progress reports while he/she is with the Agency. He/she will also write a final paper about the internship.  The student will earn a grade based on his/her documentation of the required number of work hours, completion of the assigned work, and the written assignments. ( For summer internships, this form must be turned in by May 1; August 1 for fall internships; and January 1 for spring internships).

Please provide the following contact information:

Degree   Select One
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Mobile (optional)
E-mail
Date
B Tollison.
Revised: 11/03/06