PIC Internship Application

Professional Internship in Communication Program Yokum 103, Plattsburgh, NY 12901 Tel. (518) 564-2111 Fax (518) 564-2105 Internship Application (CMM498)
To apply for a Professional Internship in Communication you must provide the internship committee with the following items: —This completed form (typed or printed clearly) —A professional resume on resume paper —A copy of your CAPP report —A letter of intent written to the PIC course committee (not to your preferred agency). Note: —Your letter of intent should include what you hope to gain from the internship experience, how the internship relates to your career, and why you believe you are qualified for the internship. —These are professional documents. How you complete this paperwork sends a message to the committee regarding your current level of maturity/professionalism and can have an impact on the committee's decisions. Please print this document and complete all of the following items:
Name:		Soc. Sec.#:
Local Address:
Local Phone:
Local E-mail:
Total Credits earned to-date:
Total Credits taking this semester:
Your Major: ___ Mass Media ___ Speech Communication ___ Broadcast Journalism	___ Comm. Studies ___ PR/Advertsing ___ Org/Leadership	___ TV-Video Prod. ___ Audio-Radio Prod. ___ Digital Media Prod.

# of Upper-level credits (300-400 level courses) earned in the Dept. of Communication at PSU:
# of Upper-level credits (300-400 level courses) taking this semester:
Cumulative GPA: _____	Major GPA: _____
*Type(s) of Internship Desired:** ___ Advertising ___ Audio Production ___ Broadcast Journalism *Although most students select only one type, some students are qualified in two or more areas.	___ Corporate Video ___ Public Relations ___ Radio Broadcasting	___ Radio Production ___TV Production ___ Other
Term Desired (check one) : ___ Spring	___ Summer	___ Fall
For each internship type you desire, list prerequisite courses you have COMPLETED along with the grade earned in each course.	(Letter)	(Yes or No)
Course #: ____________________ ____________________ ____________________ ____________________ ____________________ ____________________	Grade: __________ __________ __________ __________ __________ __________	Advanced Writing Course: __________ __________ __________ __________ __________ __________
For each internship type you desire, list prerequisite courses in which you are CURRENTLY enrolled:	(Letter)	(Yes or No)
Course #: ____________________ ____________________ ____________________ ____________________ ____________________ ____________________	Grade: __________ __________ __________ __________ __________ __________	Advanced Writing Course: __________ __________ __________ __________ __________ __________
List your preferences for internship agency, type, and status:		Full time = 12 credits Part time = 6 credits
Agency: 1. __________________ 2. __________________ 3. __________________ 4. __________________ 5. __________________	Type (PR, etc.) 1. __________________ 2. __________________ 3. __________________ 4. __________________ 5. __________________	Full Time or Part Time 1. __________________ 2. __________________ 3. __________________ 4. __________________ 5. __________________
List the names of three references.	At least two references must be faculty in the Department of Communication. The PIC committee has the right to contact these references to inquire about their perception of your readiness for an internship.	These should also be included on or with your resume (along with the contact information for each). You should ask these references for permission prior to listing them.
1. __________________	2. __________________	3. __________________
Your Signature:	___________________	Date: ______________

Last updated 1/07