Architecture Interior Program
W324 Grover Center School of Human and Consumer Sciences College of Health and Human Services Ohio University Athens, Ohio 45701
Student Internship Record
Student's Name _______________________________________________________________________________ Student's Home Address ________________________________________________________________________ _____________________________________________________________________________________________ Home Phone _________________________________________E-Mail __________________________________ Student's Address While Completing Internship (if different from home address) _____________________________________________________________________________________________ _____________________________________________________________________________________________ Phone _________________________________________________________ Internship Site Name ___________________________________________________________________________ Internship Address Site _________________________________________________________________________ _____________________________________________________________________________________________ Cooperating Professional (Supervisor) _____________________________________________________________ Internship is _______Paid ________Un-Paid
Give a brief description of the internship office. (What kind of work is done there?) _____________________________________________________________________________________________ _________________________________________________________________________________________...