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Troy University Department of History Internship Request Form Must be submitted before preregistration of internship. Students name: ___ Address:___ ___ Phone: ___ I.D. Number: ___ University Email:___ Semester: ___ Year: ___ Course: HIS 4499 Agencys Name: ___ Agencys Address: ___ City: ___ State: ___ Zip: ___ Agency Phone: ___ Agency Supervisor: ___ Brief Description of Internship Duties: ___ ___ I formally request to complete my internship with the above named agency. I fully understand
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