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On-Campus Internship Application—Fall 2012

Tanner Building Atrium

*Bold-face indicates required field.

Company Sponsor Contact Information

First Name:
Last Name:
Middle Name:
Title:

Office Phone:
Mobile Phone:
Fax Number:
Email:

Will you be the key contact to the student team?

Yes No

Key Contact to Student Team Information

First Name:
Last Name:
Middle Name:
Title:

Office Phone:
Mobile Phone:
Fax Number:
Email:

Company Information

Company Name

Website

Billing Address

Street

City State Zip

Company Description and Background

Project Information

Short Project Name
Brief Project Description
Full Project Description
Key Project Deliverables
Project Type Accounting Projects Best Practice Study (multi-functions) Business Improvement Business Plan Development Capital Markets Finance Competitor Analysis Corporate Social Responsibility Entrepreneurship Feasibility Study Financial Analysis HR / Organizational Industry Analysis and Customer Segmentation Information Systems projects Investment Research Marketing Plan Market Research New Business Opportunity Other Portfolio Management Real Estate Development Strategy Development Supply Chain Planning or Improvement Translation Please specify	Student Emphases Desired Accounting Copy Writers/Editors Finance General Business Information Systems Marketing OB / HR Other Undergraduate Degree Strategy Supply Chain Translators Please specify

Financial Considerations

NOTE: (There are no professional fees associated with an On-Campus Internship team. These teams are provided without financial charge except for reimbursement of expenses incurred by the teams under the direction and approval of the company sponsor. There is an option where the company can request an MBA or other graduate student to act as a mentor for the On-Campus Internship team. If the company requests an MBA Mentor, there is a $1,000 fee for the semester.)
Fee Willingness I do not wish to have an MBA/Graduate Mentor for my team. We wish to have BYU hire an MBA Mentor to coach our student team. Cost is $1,000 for the semester. We wish to apply for a financial hardship grant of $500 or $1,000 to assist in paying for the MBA Mentor.
Which financial hardship grant amount? $500 $1,000
Please describe below why you need the reduced fee and describe how much you would pay for the student team, faculty advisor, and business executive advisor for the semester.

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