Computer Science Internship Program

Indiana University South Bend

1700 Mishawaka Ave. South Bend, IN 46634-7111 (574) 237-6517
http://www.cs.iusb.edu/internship

(Company Data Sheet)

Company Name: Date:

Contact Person: Title:

Address: SS#:

Tel:

Fax:

City: State: Zip: E-mail:

URL:

Hardware Systems Used:

Operating Systems Used:

Languages Used:

Other (Databases, CASE tools, etc.):

Number of Interns Requested: Starting Date: Ending Date:

Desired Qualifications:

Programming Languages: C, C++, Java, VB, Other (specify)________________

Operating Systems: DOS, UNIX, WINDOWS Other (specify)______________

Specific Applications:

Position Description:

Signature Date

Company Name:			Date:
Contact Person:			Title:
Address:			SS#:
			Tel:
			Fax:
City:	State:	Zip:	E-mail:
			URL:

Hardware Systems Used:
Operating Systems Used:
Languages Used:
Other (Databases, CASE tools, etc.):
Number of Interns Requested:	Starting Date:	Ending Date: