HSM Internship Form (Part I)

Name(Required)

First Last

BU ID (U12-34-5678)(Required)

Student Email Address(Required)

Domestic or International Student?(Required)

Internship Employer/Organization(Required)

Internship Focus Area and/or Title

Internship Address

Street Address Address Line 2 City State ZIP Code

Supervisor Name(Required)

First Last

Supervisor Title

Supervisor Email Address(Required)

Supervisor Phone Number

Anticipated Start Date(Required)

Anticipated End Date(Required)

Acknowledgement(Required)

I understand that in addition to the academic requirements of the HSM Program, I am expected to complete an approved 400-hour internship.

I certify that the information provided in this form is true to the best of my knowledge.

Letter or Email from Internship Supervisor(Required)

Max. file size: 128 MB.

Please upload an offer letter or email from your internship supervisor which confirms the duties and expectations involved in the proposed internship and that you have been hired to complete these obligations.

Additional Information (Optional)

If applicable, please include any additional information you would like to share with the Graduate Academic & Career Development Center regarding your internship application.

HSM Internship Form (Part I)

HSM Internship Form (Part I)

MBA CENTER

SPECIALTY MS & PhD CENTER