Internship Form Application for POLS 3991: Supervised Fieldwork Thank you for your interest in receiving credit for your internship. To request enrollment in POLS 3991, you must meet the following criteria: Have at least a 2.8 or higher GPA (at the time of application) Have earned at least 54 credits Must guarantee that you will complete at least 126 hours of supervised field work Your internship must be substantially related to the field of law and/or politics If you meet the above-mentioned criteria, then please complete this application before the end of the add/drop period in the semester you are completing the internship. We cannot give retroactive credit for internships. Once submitted, the POLS Internship Coordinator will confirm the information you provided with your internship supervisor. Student InformationName* First Last Peoplesoft ID# (The one that's all numbers.)*Phone*UConn Email* Major*Academic Advisor*Credits Earned: How many credits will you have earned at the start of your internship? (Must be more than 54.)*Current Cumulative GPA: Must be 2.8 or higher.*Internship Placement: Where have you been offered a position as an intern?*Supervisor InformationName* First Last Company/Organization*Phone*Email* About The InternshipInternship Position Title*Semester/Session and Year*Weekly Internship Work Schedule: Please list the number of hours you will work on each day.*MondayTuesdayWednesdayThursdayFriday Start Date*End Date*Are you requesting to enroll in POLS 3991 during a summer session? Please select whether you intend to enroll in POLS 3991 for a summer internship. Note: Students who enroll in POLS 3991 during a summer session will be responsible for course and other mandatory fees associated with UConn Summer Session. For more information, visit UConn Summer Session at www.summersession.uconn.edu.* Yes No Not sure Expected Duties: Please use this space (or attach a separate document) to describe the duties that you will perform during the course of the internship, as well as the learning objectives for the internship experience. In particular, explain how the experience will enhance your understanding of the law and/or politics.FileMax. file size: 250 MB.CAPTCHANameThis field is for validation purposes and should be left unchanged.