US 1100 Internship Application : University Seminar : Texas State University

Prefix *

Full Name (including Middle Initial) *

If you are NOT affiliated with Texas State University and do not have a Texas State email, please provide your personal email address.

Email Address *

Direct Office Phone Number

Cell Phone Number *

Campus Office Building and Room Number

In which division do you work? (i.e. If you are faculty, your division is Provost/VP Academic Affairs.) *

Other

President

Provost / VP Academic Affairs

Information Technology

Finance and Support Services

Student Affairs

University Advancement

Athletics

If Other, please explain:

Department / School / Program *

Supervisor Name and Title *

Confirm Status *

STAFF ONLY: Full-time staff members must be classified as EXEMPT to be eligible to intern. Is your position classified as exempt?

Yes

No (You will not be able to intern this semester.)

FACULTY ONLY: What is your classification?

100 percent FTE

Less than 100 percent FTE

Per Course

GRAD STUDENTS ONLY: What program are you in? Some programs do not allow their students to teach US 1100. If you are in one of these programs, we will notify you.

Do you have a minimum of a master's degree? *

Yes

If no, are you in the last semester of your master's program?

Yes

No (You will not be able to intern this semester.)

Please give us specific days and times that will work with your regular schedule. *

Please attach your current resume/CV: *

If you happen to see this, do not fill this field.