Letter of Academic Credit Request Letter of Academic Credit Request Form Student Name* Student Email Address* Company Name* Company Address* Company Phone Number* Internship Supervisor Name* The person who will receive the Letter of Academic CreditSupervisor Email Address* The student or supervisor who will receive the Letter of Academic CreditHas this company offered you an internship?* Yes, I have an offer to intern here Not yet, I'm still in the application/interview process Internship Start Date MM slash DD slash YYYY This date must fall within the Start and End dates for the current semester of the BULA ProgramInternship End Date MM slash DD slash YYYY This date must fall within the Start and End dates for the current semester of the BULA ProgramDeadline to Submit Letter of Academic Credit MM slash DD slash YYYY I.e., your start date or the date of the company's intern orientationAdditional NotesTemplate UploadMax. file size: 100 MB.If your company provided a template that they would like BULA to complete, please upload that document here.