UUNI 288 Internship Proposal Intake Form

Applied Learning Internship Course - UUNI 288

Internship Proposal / Intake Form
Students interested in earning academic credit for their internship through the Applied Learning Internship (UUNI-288) course should complete this form.

UUNI 288 is a variable credit course conducted online and includes required academic assignments that focus on learning objectives, reflection and evaluation of the internship experience. Since all course assignments may be submitted online, students can earn 1 to 6 credits for internships anywhere in the world.

If your internship is approved, you will be given a permission number along with registrations steps that will allow you to register for one of the courses. Stop by the Minerva Center or call us at (518) 442-3950 for more information.
Student Name*
Preferred First Name*
ID#*
Student Email*
example@albany.edu
Major*
Year (Soph, Jr, Sr)*
GPA*
Are you an international student? If Yes, international students must receive CPT work authorization from ISSS before starting an internship.*

YesNo
UUNI 288 is a variable credit course (1-6 credits). How many credits are you registering for? (50 hours of internship service is required per credit earned. For example, 50 internship hours equals 1 credit, 100 internship hours equals 2 credits, etc.)*

1 credit2 credits3 credits4 credits5 credits6 credits
Term (spring, summer, fall): blanks*. Year (2024, 2025, etc.): blank*
Internship Site/Company Name*
Supervisor Name*
Supervisor Title*
Internship Supervisor Phone*
Supervisor Email*
example@example.com
Internship Site Address*
Description of Internship Organization (please include detailed information)*
Description of Internship Job Description (please include detailed information)*
Should be Empty:

Applied Learning Internship Course - UUNI 288