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Internship Report Form
Congratulations on your internship position! We greatly appreciate you sharing this information with our office. This information helps us with future internship development and allows us to better serve CUH students.
If you have any questions or concerns, feel free to reach out to Diane Yang at
Diane.Yang@chaminade.edu
.
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* Indicates required question
First Name
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Your answer
Last Name
*
Your answer
CUH Email
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Your answer
Major (and minor, if applicable)
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Your answer
Class Standing
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1st year
2nd year
3rd year
4+ year
Duration of internship (Example: Spring 2021, April 2021-July 2022, etc)
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Your answer
I received academic credit for this internship.
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Yes, I received academic credit.
No, I did not receive academic credit.
If you received academic credit, what is the course name & number? (If not, type "n/a")
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Your answer
Organization Name
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Your answer
Intern Title (Example: Accounting Intern, Student Research Assistant, etc.)
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Your answer
Address (City, State, Zip Code)
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Your answer
The internship was paid.
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Yes
No
If "yes," please specify wages, per hour (e.g., $15/hr, $1000 stipend, etc); otherwise type "N/A"
Your answer
How did you find out about this internship?
*
Academic Advisor
Career Advisor / Internship Coordinator
12Twenty
Professor / Academic Department
Family / Friend
Other:
Required
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