HDFS 491 - Internship Reservation Request

Semester(s) applying for: and (for just one semester, leave the second set blank)
First name:
Middle initial:
Last name:
University ID #: (9-digit number)
E-mail address:
Cumulative GPA: (2.0 is required to enroll for HDFS 491)
Semester of graduation:
Child, Adult & Family Services (CHFS) - Child
Child, Adult & Family Services (CHFS) - Youth
Child, Adult & Family Services (CHFS) - Adult/Family
Financial Counseling and Planning (FCP)
Semester prerequisite HDFS 449 or 418B taken:
Adviser name:

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