Internship Credit Authorization Request
(General Business 450 - Professional Experience in Business)

You must have an Internship Offer Letter to complete this form. * = required field
Campus ID number (10 digits)*
First Name*
Last Name*
Academic Program - Level
Email*
Semester course will be taken*	Fall Spring Summer
Year course will be taken*
Previously enrolled for Gen Bus 450*	Yes No
Hiring Company Name
Hiring Contact Name
Hiring Contact Phone Number
Hiring Contact Email Address
Internship Start Date
Internship End Date
I agree that by signing this form, I have read and understand the policies and procedures for Gen Bus 450, including the intent, purpose tuition assessment, and project requirements of this course. All information that I have provided is true and complete to the best of my knowledge, and I understand that inaccurate information may disqualify me from authorization to enroll and/or receiving credit for the internship.