* 1. First Name

* 2. Last Name

* 3. CSU Campus

* 4. Email address

* 5. Telephone Number

* 6. Degree Pursued

* 7. Grade Level

* 8. Major

* 9. Minor (type N/A if not applicable)

* 10. Campus Cumulative GPA

* 11. Expected Graduation Date

* 12. Internship Course Title and Number

* 13. Quarter/Semester and Year of course enrollment

* 14. Number of units for internship course only

* 15. Faculty Advisor's name (first, last, and title)

* 16. How did you hear about this internship?

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