Internship Enrollment Request Form
To verify your internship experience for academic credit, please complete the information below to submit directly to the Internship Program Director. Once approved, the Internship Director will issue you the permission number for internship course registration.

Please note: The information you are providing helps me to determine the appropriate course and credit. If you enroll in the course, you will be expected to complete the online course alongside your internship experience. 
Email *
Name *
Student ID *
Term of Internship *
Ex. Fall 2022
Academic Major *
LSBE Faculty Advisor *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Duluth. Report Abuse