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INTERNSHIP OR RESEARCH OPPORTUNITY INFORMATION POSITION TITLESTARTING DATEENDING DATENUMBER OF WEEKSOUTLINE OF PROPOSED RESEARCH (students may also attach a separate page outlining the research project)DESCRIPTION OF TASKS, project (specific responsibilities including learning goals and OBJECTIVE outcomes) In one sentence, please define. Scope- What is the general purpose behind this opportunity? Responsibilities What are the main duties and responsibilities that you will have? Skills- What are the main skills you will obtain? Hours- What is the total number of hours (or approximate) involved in this opportunity?  STEP 2: SEEK APPROVAL FROM A PROFESSOR FROM YOUR PROGRAM OF STUDY WHO WILL ALSO BE RESPONSIBLE TO CONFIRM THE SUCCESSFUL COMPLETION OF YOUR INTERNSHIP WITH FSIO. NAMEEMAIL ADRESS I HAVE REVIEWED THE PROJECT, LEARNING GOALS AND OBJECTIVE OUTCOMES AND ENDORSE THIS INITIATIVE __________________________________________________________________________________________ signature (academic supervisor) Date  STEP 3: BRING OR EMAIL THE FORM TO THE INTERNSHIPS & FIELD STUDIES OFFICE NAMEEMAIL ADRESS CONFIRMATION TO PARTICIPATE IN THE EEO Yes No _______________________________________________________________________________________________ signature Date  % I hereby attest that the above information is accurate and true % I am aware that it is my responsibility to submit the required documentation to my department (report and supervisor or mentor s evaluation) related to the successful completion of my internship or research opportunity upon completion of the activity in order for it to be acknowledged on my co-curricular record. % Students travelling OUTSIDE of M#->?Ƶ<,hQoa5B*CJ ^JaJ phhD5B*CJ ^JaJ phh%l5B*CJ ^JaJ phhad5B*CJ ^JaJ ph$hehe5B*CJ ^JaJ phhe5B*CJ ^JaJ ph$hM-Hhe5B*CJ ^JaJ ph$hM-Hhe5B*CJ ^JaJ ph!heheB*CJ ^JaJ phhfB*CJ ^JaJ ph5jheheB*CJ U^JaJ mHnHphu jheheUmHnHu ?OP~% < F dx$Ifgdrxgd[$d[$\$a$gd7$d[$\$a$gd|6d[$\$gde NOP^~% ( ȹueXK;e0hQoa5CJ^JaJhQoah"56CJ^JaJh"56CJ^JaJhQoa56CJ^JaJhQoahQoa56CJ^JaJ h:yhB#}5B*OJQJph h<[h<[5B*OJQJph h:yha5B*OJQJph h:yh75B*OJQJphhxh75B*^Jphhxh%l5B*^Jph$h$h75B*OJQJ^Jph)h$hQoaB*CJOJQJ^JaJph( 0 ; 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