Graduate Student Internship Approval Form

Full Name*

Panther I.D. Number*

Degree Program

MSF
MSCRE
Other (Except MSA and MSIS students – your process is through another system. Visit MyCareer and follow the instructions.)

Course number requested

Number of credit hours requested

GSU Student Email Address*

Company Name*

Company Address*

Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Country

Start Date (mm/dd/yyyy)*

End Date (mm/dd/yyyy)*

How many hours will you work per week?*

What will your responsibilities be?*

Direct Supervisor/ Recruiter Full Name*

Direct Supervisor/ Recruiter Phone Number*

Direct Supervisor/ Recruiter Email Address*

Will you require CPT approval? (international students only)

Attach your offer letter, job description and/or any documentation relevant to the position.
(Please use PDF or Word format)

Attach a second file, if applicable.