Programs of Culinary Arts, Hospitality Management, Travel and Tourism and Meeting and Event Planning

REPORT 1 - INTERNSHIP DATA SHEET

STUDENT DATA

Name______________________________________________________________________

Address____________________________________________________________________

City State Zip ________________________________________________________________

Telephone______________________ E-mail address_________________________________

Do you have an F-1 Visa?   ___ yes  ___ no
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EMPLOYER DATA

Company _______________________________________________________________

Address _________________________________________________________________

Street ___________________________________________________________________

City State Zip ____________________________________________________________

Supervisor _________________________________Telephone No. _____________________

Title _______________________________  Fax _________________________________

E-Mail ____________________________ Web Address____________________________

Job Description_______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

How many hours do you work each week? _____________________________________
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APPROVED BY:

Intern Coordinator ________________________________Date________________________

Student Signature _________________________________Date________________________