Luther College Home Prospective Students Alumni Parents Campus Community
About Luther
Happenings
Learning
Living
Giving
Admissions
Contact
Skip Link List
 

INTERNSHIP PARTICIPATION

If you participated in an internship, please let us know! Simply complete the Internship Registration Form below. Once completed, you may send the information via the Internet by selecting the "submit" button. It’s that easy.

 

INTERNSHIP REGISTRATION FORM

[Please note: if your computer is unable to send this form electronically, you may submit by fax or mail to the Career Center.]

 

STUDENT INFORMATION
First Name

Last Name

Luther ID Number

Major

Class Year

TYPE OF INTERNSHIP

Arts
Business
Communication
Education
Engineering/Math/Physical Science
Government
Law
Life Science

 

Medical/Health Science
Museums/Libraries
Nonprofit
Social Science/Religion
Technology
Travel/Recreation
Other x

ORGANIZATION
Organization Name

Division

Address

City, State, ZIP

Web Address

INTERNSHIP SUPERVISOR
Name

Title

E-mail Address

Phone

Fax

WAS THE INTERNSHIP PAID?

Yes
No

WAS THE INTERNSHIP FOR CREDIT?

Yes
No

ANY OTHER COMMENTS?

THANK YOU.