Qualtrics Survey | Qualtrics Experience Management

Please enter the student's First and Last Name
(e.g., Nicholas Siekirk)

Please confirm with student on the number of academic credits enrolled.
Each academic credit requires at minimum 40 contact hours per academic credit enrolled.

12 academic credits (min. 480 contact hours)
10 academic credits (min. 400 contact hours)
9 academic credits (min. 360 contact hours)
6 academic credits (min. 240 contact hours)
3 academic credits (min. of 120 contact hours)
Other (Outline contact hours in text field below)

Please select the Academic Semester for which the student will intern.

Fall (August to December)
Spring (January to May)
Summer (May to July)