Undergraduate Internship Application Form

The Department of Kinesiology requests that students discuss a possible internship with three different agencies before submitting this application. If you have any questions about applicable internship sites, students are advised to contact their academic advisor.

Complete all sections as described in the form below.

- indicates required field

555-555-5555
Street, City, State, Zip
Yes or No. Contact the UNA intern supervisor if you have remaining coursework. 256-765-4743
Check Degree Works
Check Degree Works

Please provide the following information for the three agencies that you have contacted for possible placement.

List agency name, contact person name, phone, and email.
List agency name, contact person name, phone, and email.
List agency name, contact person name, phone, and email.
Failure to provide truthful information may cause delays in internship placement

Please make sure all required fields have been filled out correctly.
Submission received!