Communication & Theatre Arts Internship Student Form

Complete all information for approval and enrollment in COMM/THEA/DANC 368 (no printed forms are accepted). When your form is approved, you will be notified to enroll by the Internship Director or Instructor of Record.

Please review the following.
The student will secure a work placement of at least 150 hours for 3 credit hours. (6 hour internships require 300 hours and further discussion/approval from the Department's Director of Internship & Senior Experience or appropriate Program Director.) The internship provides supervised professional work experience in a corporate, research, or educational setting, where there is opportunity to apply and further develop knowledge and skills acquired in course work related to a student’s major or minor. COMM/THEA/DANC 368 is available to Majors & Minors. NOTE: Students applying for a 2nd internship should note that the additional credit hours do NOT go towards their Major, but overall credit hours required for graduation.
Legal Name Legal Name * First Last
Preferred Name Preferred Name First Last
Pronouns
UIN *
ODU Email *
Overall GPA *
Department (Major/Minor) GPA *
Anticipated Graduation Semester *
What is your Major (or Minor if applicable)? *
Will this internship go towards your Major or Minor in COMM, THEA, FILM, DANC, etc.? *
Are you a BA or BS student? *
Intended Internship Semester (ex. Spring 20XX, Fall 20XX, Summer 20XX, ) *
Will this be your first or second internship? *
Internship Credits Sought (3 or 6) *
Course CRN (based on your registration location, please see courses.odu.edu to find the appropriate CRN) *
Internship Provider Information

Please complete the internship provider information below.
Organization sponsoring internship *
Description of organization sponsoring internship *
Is this a paid internship?

Is this a paid internship? Yes No
Department in which you will be working *
Your internship position title (Marketing intern, social media intern, etc.) *
Please share the job description and list your internship job responsibilities *
Internship Supervisor Information *

Please include internship supervisor name, title, address, email, phone number, and website.
If you are applying for an internship for your Major: Internship prerequisites for COMM & Theatre Arts Majors: 12 credits in the ODU Department of Communication and Theatre Arts must be accumulated prior to the start of the internship.
Please list the courses you have completed and include the semester taken and the grade you earned for the class. *
Share your concentration and indicate course taken, semester taken, and the grade you earned for the class. *
Internship prerequisites for Minors: 6 credits in the ODU Department of Communication and Theatre Arts must be accumulated prior to the start of the internship. Include course number, name, and grade earned.
If you are applying for an internship for your Minor: Please list the courses you have completed and include the semester taken and the grade you earned for the class. *
In 100-200 words, how will the Major or Minor courses that you’ve completed relate to your tasks at the internship? *
In 300-500 words, discuss why you want an internship. Include learning goals for the internship (these should be measurable goals, like “To learn how to work with social media to promote the organization’s events” or “To gain experience writing press releases”), and discuss how your internship will help you meet your career goals. *
Student Agreement
I agree to (check and complete): *

I agree to (check and complete): Perform a minimum of 150 hours per 3 academic credit hours of work for my host agency. Perform my duties to the best of my ability, and ask for guidance when I need it. Adhere to organizational rules and procedures, including record-keeping requirements and confidentiality of organization and client information. Be open to supervision and feedback, which will facilitate learning and personal growth. Meet time and duty commitments or if I cannot attend, provide 24 hours-notice so that alternative arrangements can be made.
Student’s electronic signature:

By electronically signing below, I agree to the terms of this internship and will complete my activities in an ethical and responsible manner representing my university and department with integrity.

By submitting this application, you are affirming the ODU Honor Code.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Communication & Theatre Arts Internship Student Form

Communication & Theatre Arts Internship Student Form

Internship Provider Information

If you are applying for an internship for your Major: Internship prerequisites for COMM & Theatre Arts Majors: 12 credits in the ODU Department of Communication and Theatre Arts must be accumulated prior to the start of the internship.

Internship prerequisites for Minors: 6 credits in the ODU Department of Communication and Theatre Arts must be accumulated prior to the start of the internship. Include course number, name, and grade earned.

Student Agreement

Student’s electronic signature: