Student Academic Internship/Service Learning Site Request

STUDENTS SHOULD ONLY SUBMIT THIS FORM AFTER MEETING WITH AND CONFIRMING PLACEMENT WITH THE AGENCY OR ORGANIZATION.

All students engaged in academic courses at locations not listed on this site, including academic internships and service-learning courses, must complete this Student Academic Internship/Service Learning Site Request form. Students who do not successfully complete the placement process or submit this form cannot receive credit for their course. These students must contact their instructors.

Student Identification Information
Course Information
Site Information