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Iowa Application for State Employment
CFN 552-0072 R 3/11 6
INTERNSHIP SUPPLEMENT
Complete this Section Only if Applying for an Internship
Name
Instructions
SUBMIT A LETTER FROM A BONA FIDE ACADEMIC OFFICIAL AT YOUR EDUCATIONAL INSTITUTION ATTESTING TO:
1). Your major area of study. 2). Whether this internship is for education program credit or needed for work experience.
3). If for credit, an outline of internship goals and objectives.
Agencies with internships list them on the DAS-HRE website at: http://das.hre.iowa.gov. Students interested in those
internships should contact the name listed, in addition to completing the Application for State Employment.
Education
Degree Program: Associate of Arts Bachelor of Arts/Bachelor of Science Master of Arts/Master of Science
Juris Doctor Doctor of Philosophy
Major
Intended completion date
Course work related to internship
Is this internship for credit toward a degree program
Yes No
Academic References:
1)
Name Address Phone Number
2)
Name Address Phone Number
Availability
Are you available (check all that apply): Spring Summer Fall Winter Anytime
Date available to begin internship
Will you accept an unpaid internship
Yes No
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