EASTERN KENTUCKY UNIVERSITY

School Library Media Practicum Application

Note: Library Media practicum will be completed in a different county form which you are employed or reside

APPLICANT: 
This form is your application for School Library Media Practicum. 
Please complete the information below pertaining to your personal data and then submit it to your ADVISOR.
click the submit button ONCE ONLY.

First Name: Last Name:
EKU ID (9-digit) :*
Email and EKU ID are required fields for you to retrieve your application later.
Email:*
Street:  

City:

 State: Zip:

Phone:

   District employed by:

Practicum Session:   Year:

LIB 870(P-12):

Please list any courses you will need to complete during/after your practicum:

Please list preferred dates for praticum. These dates are not guaranteed:

*Note: Scheduling preference will be given to those who have completed all library science courses.  A minimum of 18 hours of Library Science course must be taken before practicum. These must include LIB 800, 769, 863, 821and 831 and one literature class.

Advisor:

    

Technical comments and suggestions may be directed to rande.jones@eku.edu

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