Internship Application
Internship - Student Placement Application

Instructions: Please fill out all portions of the following form. After clicking on the submit button, please be patient while waiting for a response. You will receive a message both in Netscape and in email when the form is successfully submitted. Because of the amount of information this form submits, it may take several minutes for you to get a response from the server.

Thank you for your patience and your interest!

Personal Information
First Name: 
Last Name: 
Status:  Graduate Undergraduate
Address: 
City: 
State: 
Zip Code:   - 
Email Address: 
Home Phone:  ( ) -
Work Phone:
(If Applicable) 		 ( ) -
Semester Planning
to do Field Work: 
Number of credits
desired (1-6): 

Site Information:

If you have located a site that you wish to intern at, please enter the site name and the name of the contact at that site here:

Site Name:
Contact Name:

Please indicate below preferences for placement:
Type of Work Experience:
(Choose only three and rank them in order of interest)
Rankings: Categories: Rankings: Categories:
Administration/Management Multimedia Production
Archives Network Administration
Bibliographic Instruction PC Hardware/Software Support
Cataloging Reference
Children's or Young Adult Services Serials
Collection Building & Maintenance Special Collections
Database Design Usability Analysis
Database Searching & Maintenance Web Design
Government Documents Web-based Information Organization
Help Desk/Technology User Support Web-based Information Searching and Retrieval
Interlibrary Loan International Internship
    Other (Please Specify):
Comments: (If you have any specific projects in mind in one
or more of the above areas, describe briefly here.)

Type of Site: (Rank preferences)
Rankings: Site Types: Rankings: Site Types:
Academic Public
Corporate Special
Government State Library
Law Library Other (Please Specify):
     
Comments: (If special site or type of site in mind, please name.)

List by title, course work which contributes to your knowledge, skills, and abilities for the type of work listed above.

List two faculty members who can serve as references concerning your knowledge, skills, and abilities for this placement.

List previous work experience that contributes to your knowledge, skills, and abilities for the type of work listed.

Geographical Area
(Check all regions would be of interest to you).
Regions:
Tallahassee
North Florida
East Florida
Central Florida
South Florida
South Georgia
Other Area: (Please Specify)
Southern United States
North East United States
Midwest United States
South Western United States
North Western United States
Comments:
Transportation I have transportation by car or bus
No transportation available

Please briefly describe your career goals.

Add here any other information which might help in selecting a site for your field work.


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