MSP Internship Course Eligibility Verification Form MSP Internship Course Eligibility Verification Form This form is required for MSP majors requesting approval to register for one of the two MSP Internship course options. [MSP 4785 (3-4 credits), or MSP 4786 (1-3 credits, if 4785 has already been completed)] There are three documents related to the MSP Internship Course: 1.) the Overview Sheet, 2.) the Eligibility Verification Form, and 3.) the Site Verification Form. The first is informational, and the second two are forms that the student is required to submit as part of the registration process. Students should carefully review the MSP Internship Course Overview Sheet before submitting any forms. This Eligibility Verification Form, should be submitted early in the process (typically 6 weeks before the term), in order to receive official verification of your eligibility to be registered in an MSP Internship course. If approved, you will be manually registered for the course after we receive confirmation from the Internship Coordinator that you also successfully obtained a media-related internship and approval of the site itself. CONTACTSFor assistance obtaining an internship: Sign up for Klein Connect, (https://klein-temple-csm.symplicity.com/), the internship and job portal managed by the Klein College of Media and Communication’s Office of Career Services. For questions about internship eligibility and the Internship Eligibility Verification Form, contact the MSP Director, Rebecca Gollihur, gollihur@temple.edu. MSP Office: Annenberg Hall, Room 205 For required site approval, the Internship Site Verification Form, and details about course requirements and assignments, contact the MSP Internship Coordinator, Dr. Elizabeth Leebron Tutelman betsy@temple.edu. STUDENTS: COMPLETE PARTS ONE & TWO OF THIS FORM AND SUBMIT TO MSPPART ONE: STUDENT INFORMATION & COURSE/CREDIT REQUEST OPTIONS:Name* First Name Last Name TU Major*Media Studies and ProductionTerm in which you will work on the internship site.* (This must be the same term in which you are registered for the course.)Track/Concentration*Choose Track/ConcentrationMSP-ProductionMSP-AnalysisMSP-BusinessOtherOther: Please Specify Track/Concentration* and Minor (if applicable) TUID (9-digit number)* TU Email (Information will only be sent to the TU email.)* Please check only one of the course & credit options below: (Credits will be confirmed/adjusted by the Coordinator prior to registration.)Course* MSP 4785 Internship Course (as Professional Dev. Requirement) MSP 4786 Internship Course (as MSP elective if completed 4785) Credits* 3 credits (12 hrs*) 4 credits (15 hrs*) Credits* 1 credit (8 hrs*) 2 credits (10 hrs*) 3 credits (12 hrs*) * indicates the approximate minimum # of work hours required per week at the internship site to earn the corresponding academic credit. Final approval of work hours and corresponding credit is determined by the Internship Coordinator. PART TWO: STUDENT VERIFICATION REQUEST & SIGNATURE: By my signature, I confirm I have read the MSP Internship Overview Sheet; I believe I meet all eligibility requirements, and I understand if my eligibility verification is approved, I must also submit the Site Verification Form to obtain official internship site approval and final registration.Student Signature* Date (MM/DD/YYYY)* MM slash DD slash YYYY Once submitted, your request(s) will be reviewed by the department, and we will provide a decision as soon as possible. Direct questions go to gollihur@temple.edu.NameThis field is for validation purposes and should be left unchanged.