Texas A&M – Corpus Christi College of Business
Internship Program Application
Student Information

Complete and submit before registration

Name
  First Last Middle
 
 
  Student ID Semester Preference Graduation Date
 
Date
 
Phone
  Home Mobile Work
 
Address
 
  City State Zip
 
 
  Major Minor Foreign Language
 
E-mail
 
List areas of academic (1)
interest(e.g. advertising, (2)
tax,etc.) (3)
 
As a College of Business intern I agree to hold harmless and release from liability all representatives of A&M-CC in the event I am injured while on this assignment or in any way conclude that I am dissatisfied with details related to my assignment. My signature testifies that I have carefully read the information contained in this application, that the details I have provided are factual, and that I agree to abide by the statements above.

I authorize the College of Business to release to prospective employers information relating to my academic transcript, resume or educational records when in the judgment of the professional staff of the department, this information will be of value to my personal and/or professional development and assist in my effective placement.
 
Full Name         Date   
 
Certification All information on this form is true and complete to the best of my knowledge



by clicking this button you are agreeing to the above certification