S605 Application for Internship in Library and Information Science

CIRCLE the intended semester:   Fall   Spring   Summer   Year:________

__ MIS Program      __ MLS Program      __ SpLIS Program      __ Joint/Dual Degree

Bloomington interns return to: Debora Shaw, Internship Coordinator, SLIS, Main Library 011, 1320 E. 10th Street, Bloomington, IN 47405; 812.855.2018/888.335.7547.

Indianapolis interns return to: Marilyn Irwin, Internship Coordinator, SLIS IUPUI, UL 1110, 755 W. Michigan Ave., Indianapolis, IN 46202; 317.278.2375/866.758.6254.

Internship materials may also be submitted at the SLIS Bloomington office.

PLEASE PRINT or process, AND PROVIDE ALL INFORMATION

Student's Name ____________________________________________________

Address __________________________________________________________

City _____________________________ State ________ ZIP _______________

Phone number(s) home ________________________ work _________________

Student's ID number ________________________ E-mail __________________

Normally, the internship is for three academic credits, or a total of 180 hours on site. Total number of credits for which you intend to enroll: _________, 60 on site hours per credit.

Describe the type of library, information center, institution in which you would like to complete the internship:

Based on discussion with your advisor and the internship coordinator, list your intended supervisor and site for your internship experience. (You should feel free to speak with the potential supervisor about the possibility of an internship without any parties making a commitment at this time.) Final placement is arranged by the coordinator. Please give complete and correct information.
All information must be current. The applying student is responsible for confirming spelling of the supervisor's name and title and that addresses, e-mail, and phone numbers are correct.

Position and title __________________________________________________

Institution _______________________________________________________

Address _________________________________________________________

City, State, ZIP____________________________________________________

Phone number (______)___________________E-mail_____________________

Attach to this application the following:

1. A list of course work in SLIS you will have completed prior to beginning this internship. Note the grade, semester and year for each course. (Students are expected to have completed no fewer than 18 credits, including the required courses and electives directly relevant to the content of the internship.)
2. A description of any job experiences, additional course work (undergraduate or graduate), degrees, licenses, or certifications which you have that are relevant to this internship.
3. A statement of your career goals and explaination of how this internship will help you reach those goals. Be specific as to the experiences you want to gain through this internship and why you believe the supervisors you have listed can provide such an experience.

The student's advisor should review the completed application before it is submitted to the internship coordinator. Once the advisor has approved the internship as an elective, the student may enroll in S605.

Applications are due:

For Fall by July 15--intern will receive confirmation by August 15
For Spring by November 15--intern will receive confirmation by December 15
For Summer by March 15--intern will receive confirmation by April 15