Intern Agreement Form

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Please read and answer all questions carefully. By signing this form, you are agreeing to the requirements of maintaining an intern credential. If at any time during the program you are out of compliance on one or more of these requirements, your intern credential may be withdrawn immediately.

Email *

Please check to confirm. *

I understand that all correspondence will be sent to my Dominican email address while in the program.

I understand that I am responsible to check my Dominican email regularly for important program information, deadlines, etc.

Required

Student ID Number *

Last Name *

First Name *

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