Turn in the offer letter or a signed internship contract to internship coordinator, Dr. Jose-Luis Izursa, jlizursa@umd.edu, prior to beginning the internship. You must have JavaScript enabled to use this form. First Name: Last Name: Email: Phone: UID: Intended graduation semester and year: Area of Concentration: Ecological Technology Design Ecosystem Health Soil and Watershed Science Natural Resources Management Have you already received credit for ENST 389? Yes No Which semester and year are you planning to register for ENST 389? Number of credits completed before the semester and year are you planning to register for ENST 389: Internship Site Organization Name: Internship Site Organization Website: Internship Supervisor: Note: your supervisor will be asked to submit a letter of verification when you have completed your work. Internship Mailing Address: Description of your intended internship activities: Expected start date: Expected start date:: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Expected start date:: Day Day12345678910111213141516171819202122232425262728293031 Expected start date:: Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Expected end date: Expected end date:: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Expected end date:: Day Day12345678910111213141516171819202122232425262728293031 Expected end date:: Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Expected weekly hours of your internship: Anticipated total hours of your internship: Note: you will need at least 135 hours on-site, please estimate how you will achieve these hours. Accept Upon receipt of all necessary information (proposal form & official hire letter) and internship coordinator's approval, you will be cleared to register for ENST 389. Internships should be approved for credit PRIOR to the start of a job and PRIOR to the end of registration for that semester. ENST389 shall be taken simultaneous with the internship. Requests made more than two weeks into the start of the internship will be approved on a case-by-case basis only. Expectations: The Internship Coordinator will assign a Pass or Fail grade based on completion of: Submission of a reflection paper, a daily journal, 5-7 internship pictures, joining ENST LinkedIn, and internship supervisor submission of ENST Internship Evaluation Form of their intern to the ENST Internship Coordinator. I have read and understand the ENST Internship guidelines and seek approval. Accept Accept CAPTCHA Math question (11 + 5 =) Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
