COLLEGE OF ARTS AND SCIENCES
DEPARTMENT OF COMPUTER SCIENCE

Internship Application Form

Please fill out this form as completely as possible and return it to Professor Hilbert Levitz, 168 Love Building. Direct any questions to dchang@cs.fsu.edu. The information contained on the this part of this document may be submitted to potential employees.

General Information

Term Internship Requested:______________________________ Today's Date:_______________
Name:_______________________________________________  Date of Birth:_______________
Address:_____________________________________________  Phone:____________________
City:____________________  State:_______  Zip:___________  E-Mail:____________________

Academic Information

Applicants must have successfully completed at least 60 semester hours of undergraduate work (minimum 3.0 GPA) with at least 15 hours successfully completed in the Computer Science Department (3.2 GPA). The courses and GPA requirements must have been completed prior to enrollment in the internship program.

Hours Completed at FSU:_____  Overall GPA:____  Term COP 2000 taken:______________  Grade:____
Hours Completed at CS:______  CS GPA:_______  Term COP 3531 taken:______________  Grade:____
List all other Computer Science courses successfully completed:_________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Experience and Qualifications:

Computer Language Proficiency ( 0:None, 1:Very Little, 2:Taken a Class, 3: More Than One Class, 4:Work experience, 5: Mastery of language )
C++:_____  C:_____  Java:_______  ADA:  _______  Cobal:______  Fortran:_______  Pascal:_______
Visual Basic:______  Assembly:_______  Jovial:_______  PL1:_______  
List Others:_____________________________________________________________________________

Work or related experience (Plese describe any Computer Sience related work experience):__________
________________________________________________________________________________________
________________________________________________________________________________________

Other relevant Knowledge or Skill:_________________________________________________________
________________________________________________________________________________________

Personal Desires

The material on this part is for CS use only and will remain confidential.

Areas of Interest: (Note the specific areas of computer science that most interest you (if any), note: this will NOT prevent placement outside the listed ares:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Desires and Expectations (Please describe what you wish to gain from the internship program). ________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Location of Internship: (Please indicate the desired location of the internship if other than Tallahassee. Describe any circumstances that would make this advantageous, including the names and addresses of any potential employees in which you are interested in the stated area. Note that this program will concentrate in the Tallahassee area but that other placements may be possible).
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Other Information: (Please indicate anything else that you feel shoud be considered when a decision is made concerning this aplication).
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________