Department of Social Sciences

Checklist for Field Experience/Directed Study Application File

Social Security #________________________________________________________________

Semester__________ CRN:_____________________ Date in Banner_____________________

Location of Internship____________________________________________________________

Check One Below:

Field Experience: ___SOS 4380     ___SOS 4680

Special Projects: ___SOS 4301     ___SOS 4601

Directed Study:  ___SOS 3399     ___SOS 4399

Student's Name: ____________________________________________________________

Check the following when completed, and attach this form to inside front of file:

_____ Total hours completed toward degree (printout of current transcript in file)

_____ GPA at UHD

_____ Total hours in this course

_____ Number of internships/directed studies completed by this student already

_____ SOS Application completed

_____ Signatures completed

_____ Career Service application completed

_____ Sent to Career Services (for Field Experience only)

_____ Reading list made _____ Filed (for Field Experience only)

_____ Meetings (4 total meetings):1__________; 2__________; 3__________, 4__________

_____ Paper turned in _____ Read _____ Grade Submitted (date)___________

_____ Career Services Evaluation Turned in (for Field Experience only)