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RMIN/REAL 4800 Job Confirmation Form

Please do not submit incomplete forms.

Instructions for submission:

Please submit this form only after you have accepted your job. NOTE: You must also turn in an internship intent form (PDF | 18 KB) to Kathy Cohen if you have not already done so. If your job is approved, you will be put on the access list for the appropriate class so that you can register on OASIS. Under most circumstances, you should allow at least three working days for job approval and access.

Your Information

*First Name *Last Name *Email Major(s)

Job Information

Employing Firm Employer's Address City StateALAKARAZCACOCTDCDEFLGAHIIDIAILINKSKYLAMAMDMEMIMOMNMSMTNCNDNENHNJNMNYNVOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Your Supervisor's Name Mr. Ms. Dr. Supervisor's Phone Expected Compensation Rate Starting Date Estimated End Date Number of Working Hours per Week Less than 10 10 - 20 20 - 30 35 40 More than 40 Briefly describe what you have been told regarding your job duties in this internship

DEPARTMENT HEAD

Rob Hoyt
206 Brooks Hall
706-542-4290
email

UNDERGRADUATE ADVISOR

Kathy Cohen
297B Brooks Hall
Athens, GA 30602-6255
706-542-2308
email