Current Page 1 page 2 Page 3 Complete Student Information Name Required 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 - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming 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