Texas A&M – Corpus Christi College of Business
Job Information Form
 
To be returned to the internship coordinator two weeks after starting employment
 
Name
  First Last Middle
 
Address
 
City State Zip
 
 
  Semester Year
 
Phone
  Home Mobile Work
 
E-mail
 
Employer
  Employer Supervisor
(Ms/Mrs./Mr.)
Supervisor's Title
 
Supervisors E-mail
 
Work Address
 
  City State Zip
 
Phone(work)
 
Job Description
  Job Title Internship Start Date Internship complete date
 
 
  Date Started Pay Rate/Salary Number of hours working per week
 
Work Schedule
 
Day Time Day Time
Monday Thursday
Tuesday Friday
Wednesday    
 
 
  Name Date
 
Certification All information on this form is true and complete to the best of my knowledge



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