Last Updated: April 2018
I
S Practicum Approval Form (ISOM 560 or ISOM 520)
Instructions:
If you need assistance finding an IS Practicum or need additional information, contact the IS Practicum Coordinator
– Professor Laurie Zouharis, lzouharis@suffolk.edu.
1. Fill out this form
2. Send an email with the subject IS Practicum to isom@suffolk.edu
with the following:
- this form
- job description
- your resume
3. After the material is submitted, you will be contacted by the IS Practicum Coordinator with an approved form
or a request for additional information. After approval, the registrar to be notified to register you in ISOM
560/520. You will not be able to register for ISOM 560 or ISOM 520 using MySuffolk.
It is the student's responsibility to:
Find the professional information systems positi
on
O
btain prior approval for your professional experience positio
n
L
og your activities and accomplishments during your positio
n
O
btain a letter from your employer that includes the necessary information
Date: Student ID: ____________________________________
Student Name:
Student Expected Graduation Date:
Student Suffolk Email:
ISOM Faculty Advisor:
ISOM 560 _______ or ISOM 520* _______
Organization Name:
Organization Address:
Supervisor’s Name:
Supervisor’s Phone: Supervisor’s email:
Internship Job Title:
Internship Job Responsibilities:
Total Expected Hours at Internship: Internship Expected Date of Completion:
After Approval of your Practicum, the registrar will be notified and you will be registered for ISOM 560/520.
What semester would you like to be officially enrolled in ISOM 560/520?
ISOM Practicum Coordinator Approval
Signature: Date:
*ISOM 520 is a 3-credit graded course and may increase your tuition.
Each student with the IS Practicum Coordinator will develop the grading criteria for ISOM 520.
click to sign
signature
click to edit
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