Please fill out the Internship Form Below
First Name:
Last Name:
Street Address
Apt Number
City/State/Zip
Home Telephone
Maryville Address
Maryville Telephone
Total credit hours completed at time of enrollment in course
Northwest GPA
3.50 - 4.00
3.00 - 3.50
2.50 - 3.00
2.00 - 2.50
1.50 - 2.00
1.00 - 1.50
below 1.00
Major GPA
3.50 - 4.00
3.00 - 3.50
2.50 - 3.00
2.00 -2.50
1.50 - 2.00
1.00 - 1.50
below 1.00
Minor GPA(s)
3.50 - 4.00
3.00 - 3.50
2.50 - 3.00
2.00 - 2.50
1.50 - 2.00
1.00 - 1.50
below 1.00
Overall GPA
3.50 - 4.00
3.00 - 3.50
2.50 - 3.00
2.00 - 2.50
1.50 - 2.00
1.00 - 1.50
below 1.00
Technical Geography classes completed
Cartography
Advanced Cartography
Remote Sensing
GIS
Advanced GIS
Digital Image Processing
Cadastral Mapping
Other
List other course work that pertinent to this application
University activities in which you participate
Previous work experience
Date you wish to start internship?
Number of internship credits desired?
Occupation or kind of business in which interested
First choice
Second choice
Third Choice
Cities where you would work:
I hereby certify that the above information is accurate.
SIGNED (student applicant)