Fall 2022 US 1100 Internship Application : University Seminar : Texas State University

Prefix *

Full Name (including Middle Initial if applicable) *

If you are NOT affiliated with Texas State University and do not have a Texas State ID or Net ID, please leave the next two fields blank and provide your personal email address.

Texas State ID (A0_)

Net ID

Email Address *

Direct Office Phone Number

Cell Phone Number *

Campus Office Building and Room Number

In which division do you work? (i.e., If you are faculty, your division is Provost/VP Academic Affairs.) *

Other

President

Provost/ VP Academic Affairs

University Administration

Information Technology

Finance and Support Services

Student Affairs

University Advancement

Athletics

If Other, please explain:

Department / School / Program *

Supervisor Name and Title *

Confirm Status *

STAFF ONLY: Full-time staff members must be classified as EXEMPT to be eligible to intern. Is your position classified as exempt?

Yes

No (You will not be able to intern this semester.)

FACULTY ONLY: What is your classification?

100 percent FTE

Less than 100 percent FTE

Per Course

GRAD STUDENTS ONLY: What program are you in? Some programs do not allow their students to teach US 1100. If you are in one of these programs, we will notify you.

If no, are you in the last semester of your master's program?

Yes

No (You will not be able to intern this semester)

Please give us specific days and times that will work with your regular Fall 2022 schedule. *

Is there a US 1100 faculty member you are interested in working with?

Please attach your current resume/CV: *

Unofficial Transcript (proving graduate program) *

If you happen to see this, do not fill this field.