Loyora Universtry MArytano
Educational Technology Internship Approval Form
Instructions for Student:
1. Fill out the student information below and attach your Educational Technology Internship
Proposal. Any project within a school or professional setting must have the approval of an
administrator or supervisor within that school or business.
2. Bring this form with the attached proposal to the administrator or supervisor, and have
him/her complete and sign the School Administrator or Supervisor Approval section.
3. Register for ET601 Educational Technology Internship for the semester in which you will begin
your internship. Consult your advisor for the appropriate section number.
4. Sign this form and submit it (along with the attached proposal) to your Internship Supervisor
for signature and cataloging.
Student Information
Name _Cheis odds
Home Phone aor Cell Phone 443-553-464
Semester(s) for Internship_Fall ZoiQ
School Administrator or Supervisor Approval
Name N4Shte AL Dennett tite Prin pal
Work Phone Ylo~ 831-013 2 Email Address_nenne tt @ beps-org
School/Business Name _ ern Woe lem