I. Instructions

Please complete the application by typing your responses in the spaces provided. Please be sure to carefully proofread your answers before you hit the "Submit" button. Incomplete applications will not be accepted. Essays that are not written at a college level, that are incomplete, insubstantial and contain grammatical and spelling errors may be grounds for not being accepted for an internship. Please contact Dr. Susan Styles (843) 863-7137, or sstyles@csuniv.edu ) with any questions concerning this application form.

II. Eligibility

Internship applicants must be sociology or psychology majors. Minors and students outside of the department are not eligible for internship. Sociology majors should have completed Sociology 201 and nine additional hours in sociology of which six must be upper level sociology courses completed in the department. Psychology majors should have completed Psychology 200 and nine additional hours in psychology of which six must be upper level psychology courses completed in the department. All applicants must have a 2.75 GPA overall and a 2.75 in the major and must be juniors (61 hours or more) prior to the start of the internship.

III. General Information
First Name
Last Name
Student PIN Number
Email Address
Mailing Address
Phone Number (residence)
Phone Number (work)

 

Major Semester Applied for?
Semester (i.e. Fall 2011)

 

Select 3 groups from the list below that you would most like to work with during your internship.
victims of sexual assault		children with behavioral problems
victims of domestic violence		terminally ill
telephone crisis counseling		nursing home residents
juvenile deliquents		drug and alcohol abuse
organ donor families		severely and profoundly retarded
children with autism		crisis pregnancy

 

III. General Information
Major
Minor
Academic Advisor
Grade Point Ratio (overall)
Grade Point Ratio (in major)
Credit Hours completed
Credit Hours (major)

 

IV. Courses completed in Psychology and Sociology (including grades received):
Psychology
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade

 

Sociology
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade
Course		Grade

 

V. Please list and describe Extracurricular Activities you are involved in . Also list any offices that you may have held. Be sure to include any pertinent information that will aid us in our decision.

 

VI. Previous Work Experience -- Beginning with the Most Recent Job Experience:
Dates		Name of Business
Title		Supervisor
Phone Number
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Dates		Name of Business
Title		Supervisor
Phone Number
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Dates		Name of Business
Title		Supervisor
Phone Number
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Dates		Name of Business
Title		Supervisor
Phone Number
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Dates		Name of Business
Title		Supervisor
Phone Number

 

VII. Required Essays Please write a 200-300 word essay describing your personal strengths that will be especially valuable to you in an internship experience Also describe your shortcomings (weaknesses) you would like to try and work on through your participation in a Behavioral Sciences Internship. Please be as specific as you can.

 

 

Please write a 200-300 word essay describing how a Behavioral Sciences Internship fits your personal goals for a career and/or graduate school. Please be as specific as you can.

VIII. Resume

Please e-mail a copy of your resume (current to within three months) to Dr. Susan Styles, sstyles@csuniv.edu.

IX. Student Signature

Please put your first and last name initials in the text box below. Initialing this form means you understand the questions and have completed each step in full.

Initial Here :