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Student Application - POD - Form

Student Information
First Name:
Last Name:
Student M #:
MTSU Email Address:
Phone Number:
If you did not attend an orientation, then you must make an appointment and see Tom Hutchison during posted office hours. Current interns who are continuing their internship need NOT attend another orientation session, but need to enroll AGAIN into the program, using this form.
When did you attend an orientation session? Section of Internship you are requesting:
Fall: Spring: Summer-all summer
Summer-one session
CRN No.:
Course No.: RIM-
Section No:
Number of Credit Hours: 1 2 3 4 5 6

Prerequisites:
Please indicate the HIGHEST GRADE you received in the following prerequisite courses:
(If currently enrolled, note "enrolled" instead of a grade)

RIM 3000 History of RI:	A B C D F Enrolled
RIM 3010 Audio for Media:	A B C D F Enrolled
RIM 3600 Survey of RI:	A B C D F Enrolled
RATV/JOUR 1020 Intro to Mass Comm:	A B C D F Enrolled
Complete 4 out of 5 Subcore Classes
RIM 3700 Copyright Law:	A B C D F Enrolled
RIM 3720 Artist Management:	A B C D F Enrolled
RIM 3900 Music Publishing:	A B C D F Enrolled
RIM 4320 Concert Promotion and Touring	A B C D F Enrolled
RIM 4620 Marketing of Recordings:	A B C D F Enrolled

"I Pledge that the above information is TRUE and ACCURATE:" Yes No

Additional Information: such as what kind of internship you are looking for, music majors, etc.