Communication Studies Internship Application Form

Please fill out this form if you would like to earn credit for an internship experience. Please fill out a new form for each internship for which you are applying.

**Please note: CMN 4275 is an academic course. This means that tuition is charged for each credit hour for which you are enrolled. For further information on tuition, see the Financial Aid website, http://www.eiu.edu/finaid/cost.php.

Name Name * First Last
E# *
EIU Email *
Total Hours Completed *
By the start date of my internship I will be a: *

By the start date of my internship I will be a: Sophomore (30-59 hours) Junior (60-89 hours) Senior (90+ hours)
Major Option/Concentration *

Major Option/Concentration Corporate Communication Interpersonal Communication Mass Communication Health Communication Public Relations TV & Video Production Communication in Organizations (online) CMN Option Unknown
Cumulative GPA *

This can be found in your Degree Audit
CMN GPA *

This can be found in your Degree Audit right after the list of Communication courses
How many CMN courses will be completed by start of internship? *

Count all successful completion of CMN prefix courses and include any courses you are currently taking.
Requesting Credit For: *

Requesting Credit For: Internship (CMN 4275)

Choose only one.
Total Credit Hours Requested *

Internship: every 40 hours worked = 1 credit, maximum of 12 credits
Practica: 1-3 credits
Practical Experience: 1 credit hour maximum
Semester *

Semester Spring 2025 Summer 2025
Anticipated Start Date Anticipated Start Date * / MM / DD YYYY

The date you will begin working
Anticipated End Date Anticipated End Date * / MM / DD YYYY

The last working day for your experience
Supervisor Information
Supervisor Name Supervisor Name * First Last
Supervisor Title/Company *
Supervisor Email Address *
Supervisor Phone Number Supervisor Phone Number * - ### - ### ####
Short essay explaining why you are applying for this experience including how it will benefit you and why you are qualified: *
Please give a description of the internship and what your duties will be during this experience. (You may copy and paste a position description): *

Communication Studies Internship Application Form

Communication Studies Internship Application Form

Supervisor Information