ࡱ> 130a )bjbjzz .P\P\\  8t&(((((($LLa^&&_D9w0,   8LL  > J: APPLICATION FOR PRACTICUM or INTERNSHIP PLACEMENT Student Name ___________________________________________________________ Student UMS # __________________________________________________________ Student telephone # _______________________________________________________ Student email ____________________________________________________________ UML Faculty Practicum/Internship Supervisor (name and dept): ________________________________________________________________________ Signature of UML Supervisor: _______________________________________________ Name of Community Organization, Agency, Business, or School for this Placement: ________________________________________________________________________ ____ hrs. a week during the __ Fall __ Winter __ Spring __ Summer ________ (Year) I wish to earn academic credit for this placement: __NO __YES (credits: __1 __2 __3) On-Site Practicum or Internship Supervisors Contact Information Name: _________________________________________________________________ Office Address __________________________________________________________ ___________________________________________________________ Work Phone ___________________________________________________________ Email Address ___________________________________________________________ Please attach (typed) description of the practicum or internship position with a job description approved by the community partner, a description of the work that you will complete and end product(s) that you will provide to the UML faculty supervisor, if requested, and a list of learning objectives that the experience will help you achieve. This form must be completed and submitted to the English Dept. Internship Coordinator for approval prior to beginning your work. Once your application is accepted, the Coordinator will forward a permission number for you to add the Practicum course (ENGL 4960) if you plan to earn course credit for this experience.     University of Massachusetts Lowell English Department Last updated 10/25/16 12l 6     + O e j u v w x z {  1 Z  BM`kº裛ӣӣhs"hiCJhs"hi>* hs"hih20hi>*h20h>*he[fh5he[fhi5h20hiCJhe[fh20hCJhh Vhih h5>*h hi5>*823|}  _ ` 6 7 * +   $a$gd Y ^ / 0 1 C&$d%d&d'dNOPQgd & Fgd%&'()hs"hiCJ h V6CJhs"hi6CJhih+Ajh+AU&'()$a$gd$a$gd,1h/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontZiZ  Table Normal :V 4 l4a _H(k (No List 4>4 Title$a$5CJ DCD Body Text Indent ^4@4 lHeader  !4 @"4 lFooter  !PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] )! DD[[[^)  ) 8@0(  B S  ?`'*uyCD'*33333=_<h^`OJQJo(hHh^`OJQJo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHohPP^P`OJQJo(hH=_         S S Ve[finr+A@)@UnknownG.[x Times New Roman5Symbol3. .Cx Arial;Wingdings?= .Cx Courier NewA$BCambria Math"1hOK'OK':&))!24 3qHP$Pl2!xx ,"Practicum Project Information FormMelissa PennellKatherine Shrieves Oh+'0 8D d p | $Practicum Project Information FormMelissa Pennell Normal.dotmKatherine Shrieves2Microsoft Office Word@@n[@D@D) ՜.+,0  hp|    #Practicum Project Information Form Title !"#$%&')*+,-./2Root Entry FD41Table WordDocument.SummaryInformation( DocumentSummaryInformation8(CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q