The College of Arts and Sciences • University of Pennsylvania
120 Claudia Cohen Hall, 249 South 36th Street
Philadelphia, PA 19104-6304
Phone: 215.898.6341 • Fax: 215.573.2023
Request for Internship
Letter
As a current College of Arts and Sciences student, you request an approval letter for internships that require
School input.
Instructions:
Once you have completed this form, please return it to the College Office along with a description of the
internship program. We will then send/fax/email a letter to your employer letting them know that we
approve of the internship and will require a letter from them confirming your successful completion of the
internship.
Important Notes:
1. This is NOT academic credit. It does not affect your total number of credits needed for graduation.
2. Since the University will not indemnify the company for your activities while serving as an intern
and you will not be covered by our insurance, this arrangement will not satisfy every employer.
Name____________________________________________________________ Today’s Date ________________
Phone ____________________________________________ Penn ID __________________________________
Dates of Internship _________________________________ to ________________________________________
Company/Organization Name ___________________________________________________________________
Name of Internship Coordinator or Employer ______________________________________________________
Address________________________________________________________________________________________
(Line 2) ________________________________________________________________________________________
(Line 3) ________________________________________________________________________________________
Fax ______________________________________________ Phone _____________________________________
Email ___________________________________________
For Internal Use O
nly
Date Completed Initials
