Department of Mass Communication
101 Braddock Road
Frostburg, Maryland 21532-1099
(301) 687-3049
FAX Number: (301) 687-3033
Mass Communication Practicum Agreement
To be completed by Student and sign & date at the bottom:
Student’s Name:
Semester Registering:
Address:
Telephone: _______________________ E-mail:
Supervisor’s Name:
Company/Organization:
Address:
Telephone: _______________________ E-mail:
Faculty Coordinator: Dr. Tyra C. Phipps
Telephone: 301-687-4782 (office) 301-689-5608 (home) E-mail: tphipps@frostburg.edu
To be completed by Supervisor and sign & date at the bottom:
Descriptive Title of Practicum:
Number of hours of work planned each week:
(A minimum of 135 hours is required for a 3-credit Practicum, for 6 credits contact Dr. Phipps.)
Specific duties and activities to be undertaken by the student:
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
The undersigned agree to the conditions set forth in this Practicum Agreement.
Student: _______________________________________________ Date: ___________________________
Supervisor: ____________________________________________ Date: ___________________________
Frostburg State University is a constituent institution of the University of Maryland System