To be completed by the student. Please note the submission due dates for each semester, which can be found on the SIS Practicum page. Student's Name * Address City State Zip Code Work or Cell Telephone Home Telephone Student's Email Address * Student's SIS Advisor's Name * - Select -Dr. Suzie AllardDr. Dania BilalDr. B. W. BishopDr. Ed CortezDr. Kimberly DouglassDr. Rachel Fleming-MayDr. Carolyn HankDr. Bharat MehraDr. Devendra PotnisDr. Vandana SinghDr. Carol TenopirDr. Peiling WangDr. Cindy WelchDr. Awa Zhu Name Student's Practicum Supervisor * Practicum Supervisor's Email Address Number of Credit Hours for which you wish to be enrolled in the practicum * 3 hours 6 hours Semester during which you wish to be enrolled in the practicum * - Select -Summer 2012Fall 2012Spring 2013Summer 2013Fall 2013Spring 2014Summer 2014Fall 2014Spring 2015Summer 2015Fall 2015Spring 2016Summer 2016Fall 2016Spring 2017Summer 2017Fall 2017 Briefly describe prior and/or current information or library work experience Indicate the type of information organization in which you wish to take the practicum * Practicum Location * Practicum Objectives * CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. Math question * 2 + 5 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.