Lehman College
The City University of New York
Department of Mathematics & Computer Science

Application for Internship in Computer Science - Spring 2007

First Name
Last Name
Social Security #
Telephone #
Email Address (Required)
Address
City
State
Zipcode

Select appropriate Internship Course:
CMP 487
CIS 488

Description of your proposed independent study work:


Name of Faculty Internship Coordinator
Faculty Internship Coordinator's Signature