8/3/2019 Cite Library Internship Electronic Applicaton
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Northwest Missouri State UniversityApplication for
Internship
In the Library and/the CITE Office
Date of Application: Northwest Network Username:
Personal Data: 919 #:
Name: (Last) (First) (Nickname) (Middle)
Local Address:
(Street) (City) (State) (Zip)
Local Phone: Primary Email Address:
Secondary Address:
(Street) (City) (State) (Zip)
Secondary Phone: Secondary Email Address:
Internship Faculty Advisor: Advisors Phone Number:
Major: Minor: Other Work:
Year inSchool: Freshman Sophomore Junior Senior Graduate
Expected Date of Graduation:
Proposed Internship Time Period: (choose from dropdown list)
Trimester: Fall Credit Hours of Internship 1 = 50 actual hours
Start Date: End Date:
Please add a check in the times you are unavailable to work.
8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00
Mon
Tue
Wed
Thur
Fri
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Software and Programming:Please rate your ability on each of the
listed software packages and scripting/programming languages by
entering thenumber that best describes your ability/experience. The
default rating is 0 No knowledge of. If you haveexperience in other
software or programming languages, please enter those and rate
yourself.
0 No knowledge of1 Beginners knowledge but no experience2
Beginners knowledge and have experimented with3 Average knowledge
and have experience working with on a limited basis4 Knowledgeable
of most aspects and used often
5 --Thorough knowledge of and can teach others how to use.
Software:Adobe Flash 0
Adobe Dreamweaver 0
Adobe Illustrator 0
Adobe InDesign 0
Adobe Photoshop 0
Adobe Fireworks 0
Adobe Captivate 0
Adobe Premiere 0
Camtasia 0 Final Cut Pro 0
I-Movie 0
I-DVD 0
Other Software Packages:Name: 0
Name: 0
Programming and Scripting LanguagesHTML 0
CSS 0
XML 0
Java Script 0
Action Script 0
C++ 0
Java 0
Visual Basic .Net 0
ASP .Net 0C# 0
SQL 0
Perl 0
Other Programming or Scripting LanguageName: 0
Name: 0
A digital resume is also welcomed but not mandatory as a part of
this application.
PLEASE READ CAREFULLY - By inserting my name (as written above)
in the text field below, I certify that the above statements are
correct. I understand
that any false information (or omissions) in the application, or
its supporting documents, will be suffic ient grounds for refusal
to hire me or terminationwithout notice. I agree that all rules,
orders, and regulations of the Board of Regents affecting my
employment shall constitute a part of my appointment or
employment. I further understand that Northwest Missouri State
University has the right to review my education, previous
employment, driving and criminal
records and other background data.
Please re-type your name here (this is a proxy for your
signature):
Date (MM/DD/YYYY):
Northwest Missouri State University is an equal opportunity
employer.
Once you have this application filled out, please email it to
both supervisors below:
Lori Mardis, Information Librarian/Assistant ProfessorNorthwest
Missouri State UniversityB.D. Owens Library800 University Drive,
Rm132Maryville, Missouri 64468-6001PHONE 660-562-1393 FAX
660-562-1049mailto:[email protected]
Jolaine Zweifel, Computer Software SpecialistCenter for
Information Technology in EducationNorthwest Missouri State
UniversityB.D. Owens Library, Rm 246Maryville, Missouri
64468-6001Phone: 660-562-1532mailto:[email protected]
Applications will be acknowledged with a reply email. Interviews
scheduled will be with both Lori and Jolaine.
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
