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Internship Application

Apprenticeship Guidelines

MATH 288 Apprenticeship Proposal Form

Student Proposal for MATH 388-Mathematics Internship

Submit three copies of this form to the chair of the department. Your proposal must be approved by a departmental committee before you may proceed with internship.

Name *

Email: *

Faculty Supervisor: *

Semester and year in which internship will take place *

Graduation year *

Proposed number of units (0.25 or 0.5) *

List all 300 level Math/CS courses completed or in progress *

Employer:

Job Site Supervisor (Name, position, phone number, email) *

Description of Work; Job Responsibilities; Typical Job Tasks (attach separate sheet if necessary)

Number of hours working per week

Academic Component:

Basis on which the course grade will be determined as agreed upon by your faculty advisor: