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Statesboro GA 30460-7996
912-478-4877
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(Monday - Friday)
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Intership Information Form
Information Technology Majors
First Name:
Last Name:
EagleID# :
Local Phone Number:
Home Phone Number:
E-Mail Address:
Local Address:
Preferred Semester for Internship
Fall
Spring
Summer
2006
2007
2008
2009
2010
2011
2012
What Information Technology Courses will you have completed by the time the internship starts?
CISM 2230
Applications Development
Yes
No
CISM 3134
Data Communications
Yes
No
CISM 3135
System Analysis and Design
Yes
No
CISM 4134
Data Management
Yes
No
CISM 4238
Network Administration
Yes
No
CISM 4135
Project Management
Yes
No
CSCI 1236
Intro to Java Programming 1
Yes
No
IT 1130
Introduction to IT
Yes
No
IT 1430
Web Page Development
Yes
No
IT 3131
Web Applications Design and Development
Yes
No
IT 3234
Software Acq., Integ, and Impl.
Yes
No
IT 4130
IT Issues & Management
Yes
No
Second Discipline:
Emphasis:
Knowledge Management and IT Integration
System Development and Support
Telecommunications and Network Administration
Web and Multimedia Foundations
Overall GPA:
STUDENTS ARE REQUIRRED TO COMPLETE A MIN. OF 280 HRS. OF INTERNSHIP WORK
When do you plan to Graduate?
Fall
Spring
Summer
2006
2007
2008
2009
2010
2011
2012
Do you plan to take classes during the term in which you intern?
Yes
No
In what cities are you willing to intern?
Atlanta
Savannah
Statesboro
Augusta
Other: