Honors Practicum Course Application

Before completing this form, the student and sponsoring faculty member should carefully read the Honors Internship Course guidelines.

*=Required Field

If you see this don't fill out this input box.

* Student Name:

* Student Major:

* Student WKU Email:

* WKU ID Number:

* Student Cell Phone:

* Hon 250 or Hon 350?:

* Semester for HON 250 or 350:

* Name of Practicum Organization:

* Name and Title of Primary Practicum Supervisor:

* Practicum Supervisor’s Email:

* Practicum Supervisor’s Phone:

* Beginning and End Dates of Practicum:

* Total Number of Hours of Practicum:

In the field below, explain in 150-250 words how this practicum ties into your personal, academic, and professional goals. That is, describe how the activities, duties, and/or responsibilities of the practicum allow you to use knowledge and skills you’ve learned in WKU courses and/or how the practicum helps propel you toward future accomplishments in your chosen career field.

* Explain:

IMPORTANT: Please have your practicum supervisor email the Mahurin Honors College at WKU at hc.intern-practicum@wku.edu with a brief confirmation of your practicum dates and proposed activities or assigned duties/responsibilites. He or she may attach an appointment letter, if available. He or she will also be asked to send confirmation of successful completion at the conclusion of the practicum.

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