LIS Practicum and Internship Placement Application
For which semester are you currently applying?
Use the season and the year in your answer
Your answer
Applying for
My advisor is
If applying for the internship, have you completed the practicum?
The practicum is a prerequisite for the internship.
First and Last Name
Your answer
Student Number
Your answer
Email Address
Your answer
Daytime Phone Number
Your answer
Evening Phone Number
Your answer
Mailing Address
Your answer
The department recommends very strongly that all courses be completed before enrolling for the practicum.
I have completed the following courses:
* Must be completed before enrolling for the practicum.
I have completed this course
I have NOT completed this course
LIS 5100 Foundations of Librarianship – 2 Hrs.
LIS 5240 Library Media Administration – 3 Hrs.*
LIS 5250 Developing  & Managing Collections – 3 Hrs.*
LIS 5270 Organizing Information – 3 Hrs.*
LIS 5322 Reference Sources & Services – 3 Hrs.*
LIS 5340 Children’s, Adolescent, & Young Adult Literature – 3 Hrs.
LIS 5750 Using Online Resources – 3 Hrs.
LIS 5770 Curriculum and the Media Center – 3 Hrs.
Have you taken any courses at another institution that transferred into this degree program?
Never submit passwords through Google Forms.
This form was created inside of University of Central Missouri. Report Abuse - Terms of Service - Additional Terms