| Name:
_______________________________________________________________ |
| Current
Address: (Until when?) ______________________________________________ |
| City:
___________________________ |
State:
_______________ |
Zip:
__________ |
| Current
phone number: ____________________________ |
| Permanent
phone number: ____________________________ |
| email: _________________________________________________ |
| Area
of internship: (Be specific) __________________________________________ |
| Semester:
(Fall/Spring/Summer) ________________________________ |
Year:
__________ |
| College:
________________________________________________________ |
| Major:
_____________________________________ |
| Current
year level: (Junior/Senior/Graduate) |
_____________________ |
|
|
Course
title, if receiving credit Credit hours assigned: |
_____________________________________ |
|
Faculty
sponsor phone number: |
___________________________ |
|
Faculty
sponsor signature and title: |
________________________________________ |
| |
________________________________________ |
Mail application
to:
|
Internship Coordinator
N.C. Museum of Natural Sciences
11 West Jones Street
Raleigh, NC 27601-1029 |
