You must have JavaScript enabled to use this form. All fields are required* Student's First Name * Student's Last Name * CSUID * Student Email * Program * Exercise Science Sport Management Semester * Fall 2022 Spring 2023 Summer 2023 Credits * 8 s.h. (PED 480) (360 hours) 12 s.h. (PED 481) (540 hours) Upload PDF only 1. Goals/objectives to be sought during the internship * Goals/objectives to be sought during the internship (Must signed and dated by advisor)Files must be less than 2 MB.Allowed file types: pdf. 2. Potential sites and/or area of emphasis * Files must be less than 2 MB.Allowed file types: pdf. 3. Current resume * Files must be less than 2 MB.Allowed file types: pdf. 4. Updated checksheet, signed by advisor * Files must be less than 2 MB.Allowed file types: pdf. 5. Liability Insurance (this is not the same as health insurance, see your advisor with questions) * Files must be less than 2 MB.Allowed file types: pdf. 6. TB Test Result (TB Test Form) * Files must be less than 2 MB.Allowed file types: pdf. 7. Hepatitis Shot Series (evidence of first shot is required and to be included when Intent (Form 1) is turned in) (Hepatitis B Form) * Files must be less than 2 MB.Allowed file types: pdf. 8. BCI & FBI Background Check (evidence of payment is required and to be included when Intent (Form 1) is turned in) (BCI/FBI Form) * Files must be less than 2 MB.Allowed file types: pdf. 9. Current First Aid/CPR certification * Files must be less than 2 MB.Allowed file types: pdf. Please confirm that you have read the following: * I have read and understand the necessary requirements for an internship/practicum. I understand that ALL of the associated paperwork and necessary signatures need to be completed by the deadline. I understand that failure to complete and of the requirements will result in a delay in enrolling in internship/practicum and likely delay my graduation date. Leave this field blank