Internship Declaration Sheet

Educational Information

First Name

Last Name

Baylor ID

Major & Concentration

Semester of Internship

Year of Internship

Desired Number of Credit Hours for Internship

Additional Course work to be taken concurrently with the internship - List Courses & Semester Hours

Additional Course Work

Number of hours completed in degree program at the start of this semester.

Number of Completed Hours

CPR Certified

First Aid Certified

Desired Type of Internship

Possible Agencies

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