Current Page 1 page 2 Page 3 Complete Student Information Name First Required Last Required NUID Number Required Husker email address Phone Number Have you participated in an internship for credit before? Yes No Previous Internships When was your previous internship? Where was your previous internship? In what field is your internship? This will typically align with your major. Art Art History Graphic Design Organization/Agency Information Name of business or entity providing the internship Location of business or entity providing the internship Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Internship Supervisor Contact Information Your internship supervisor is the person who will mentor you and evaluate your performance on site- at the business or agency that is hosting the internship. Internship Supervisor's Name Internship Supervisor's title or position in the organization Internship Supervisor's email address Internship Supervisor's Phone Number Leave this field blank