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MU Advantage Internship Request Form

Company Name:

Company Address: City: State: ZIP:

Company Web Site:

Contact Name: Title:

E-mail Address: Phone: Fax:

Internship Semester:

Anticipated Hours per Week:

Physical Location of Internship:

Duties of Internship Position:

Any Specific Majors, Skills, or Legal Physical Requirements or Age Restrictions:

Application Instructions:

Is Internship Paid   Unpaid        Compensation, if Paid:

Date Internship Begins:      Date Internship Ends:

Thank you for your interest in participating in our MU Advantage Internship Program. If you have questions regarding an internship or wish to speak with someone directly, please contact:

Robin P. Davenport '09M
Associate Director of Internships and Employer Relations
Phone: (910) 630-7279