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Enterntainment, Sports, Intellectual Property Internship Application Form and Enrollment Information
1. Student Information
1
. Application Date:
MM
DD
YYYY
Enter month, day, year
Application Date: Enter month, day, year Month
/
Day
/
Year
2
. Student Name:
Student Name:
3
. Student ID Number:
Student ID Number:
4
. Address:
Address:
Street Address 1:
Street Address 2:
City:
State:
Zip:
5
. Telephone:
Telephone:
Cell:
Home:
6
. e-mail address:
e-mail address:
7
. Internship semester:
Internship semester:
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