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Student information
First Name
Last Name
Phone number
Georgia Tech Major (AE, CS, ECE, ME, other..)
AE
CS
ECE
ME
Other, please note your major
If other, please specify
Georgia Tech Degree (BS,MS,PhD, other)
Bachelor of Science
Master of Science
PhD
Other.
Dual-degree Partner School? (if applicable)
- Select -
Arts et Métiers ParisTech
Centrale Casablanca
CentraleSupélec
Comillas ICAI
ECAM
Ecole Centrale de Lille
ENSEA
ENSEEIHT
ENSEM
ENSMM
ENSTA
EPF
EPITA
ESIEE
ESILV
Grenoble INP-Phelma
INSA
Institut Mines-Télécom
Institut d'Optique Graduate School
IPSA - Institut Polytechnique des Sciences Avancées
Polytech Nancy
Universitat Politècnica de Catalunya
Universidad Politécnica de Madrid
Universitat Politècnica de València
Università degli Studi di Brescia
Université de Lorraine
Università di Roma Sapienza
Université Internationale de Rabat
Université du Luxembourg
UTC
UTT
Other dual-degree partner school
N/A-No partner school
Company Information
Company Name
City
Zip Code (code postal)
State
Country
Internship Information
Internship Job Title
Internship starting semester (ex: Spring 20??)
Duration of internship (number of months)
How did you find your internship?
Through your Dual-degree partner school.
Through the Georgia Tech network
Through your own research
Through word of mouth
Other (please describe)
Convention stage (if applicable, for France)
Convention de stage - Dual-degree partner school
Convention de stage - Georgia Tech-Europe
Other
Administrative Contact Information
First name
Last name
Job title
Phone number
Email
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