Student Application

Personal Information
First Name		Last Name
Local Street Address		Alternate Address
Local City		Alternate City
Local State		Alternate State
Local Zip Code		Alternate Zip Code
Local Telephone		Alternate Telephone
Email		Fax Number
Time Commitment	Full-Time	Part-Time	Either
Career Preferences (Specify Job Titles)
Special Employment Interests
Willing to relocate out of the Bay Area?	Yes NO	Do you have a car?	Yes NO
Educational Background
Major		Concentration
GPA Overall	GPA in Major	Level Fr Soph Jr Sr Grad
Projected Date of Graduation from SFSU (Mo/Yr)
Enrolled in Co-Op Colloquium/Course AU 293 (Sem/Yr)
List Other Colleges/Universities Attended and Degrees Earned if Applicable
Do you already have an internship?	Yes NO	If YES, is it paid?	Yes NO
Are you currently employed in a position other than an internship?		Yes NO
If so, where?	Employer
	Address
	Position
	Telephone
	Hours per week
Special Skills
Computer Languages
Foreign Languages
Computer Software
Other Skills (i.e., typing speed, office skills, talents, training, certification)
Optional Information
Citizenship Status	Citizen Permanent Resident F-1 Visa
Gender	Male Female
Ethnicity
Age