Internship Inquiry Please help keep our records up to date by completing the following form. Complete a new form for each internship and/or co-op. First Name * Last Name * College of Engineering Department * Chemical Civil Electrical/Computer Industrial Technology Mechanical Petroleum Type of Job Assignment * Co-op Internship Please select whether you participated in a co-op or Internship. If you completed multiple assignments with different companies fill out a new form for each co-op or internship. Name of Company * Location of Company * City and state of actual job site Duration of Assignment * One semester Two semesters Three semesters Four or more semesters How many semesters did you (or will you) actually participate in the job assignment (past, present, or future). Example: If you worked a summer semester and will work again for another summer semester please select two semesters. Date of Employment * Please list the approximate start and end date of the assignment by listing the month and year. (Example June 2015 - August 2015 and June 2016 - August 2017) Job Search * College of Engineering Email UL Career Fair Web Search Student Organization Meeting Company Information Session Other Please describe how you found out about the internship or co-op that you applied for. Leave this field blank