Individual Questionnaire for CS 577c: CSE/CST Internship Program

Go to Questionnaire Instructions

Personal Information

First Name*:
Middle Initial:
Last Name*:
Student ID*: xxx-xx-xxxx
Sex*: M

Contact Information

Preferred Email address*:
USC SCF UserName*: @scf.usc.edu
Daytime Phone Number*: (xxx) xxx-xxxx
Fax Number: (xxx) xxx-xxxx
Personal Web Page URL:

Student Information

I am a Full Time Student* Yes No
I am a a Remote Student* Yes No
I am specializing in Software Engineering Yes No
Current Degree Objective MS PhD
English Proficiency Level*
Available Days Mon Tue Wed Thu Fri Sat Sun

Preference for Team Roles and Responsibilities

Project Management*:
Client Facilitation*:
Detailed Design and Programming*:
Quality Management*:


Send Problem Reports to cs577@scf.usc.edu