Mike Curb College of Entertainment & Music Business
Internship Office

STUDENT COMPANY INFORMATION FORM

Please complete this form within the first two weeks of the semester beginning in order to receive credit for your internship



Name (Last):
Name (First):
BUid:
Student Email Address:
Student Phone #:
Registered for: MBU 3000
AET 3000
EIS 3000
SNG 3000
Number of hours registered for:
Semester: Spring
Fall
Summer
Company Name:
Supervisor name (Last):
Supervisor name (First):
Supervisor Email:
Supervisor Phone:
Internship Location: Nashville
New York
Los Angeles
Other
How did you find your internship? Career Connector
your own research
through friends/word of mouth
other
If you found your internship another way, please explain: