IEOR E3999: Fieldwork Request Form (For BS Students Only)

IEOR E3999: Fieldwork Request Form (For BS Students Only)

Fieldwork Eligiblity and Requirements

Students in the IEOR Department have an option to pursue internship opportunities that complement their academic studies and earn credits. Schedule permitting, students may engage up to 20 hours per week during an academic term (fall and spring semesters). Students may take IEOR E3999 Fieldwork for a maximum total of three (3) credits, and the credits will count toward the 128-credit requirement of the bachelor of science degree. However, fieldwork credits: (1) may not also count toward a major core, technical, elective, and non-technical requirements and (2) may not be taken for pass/fail grade or audited.

In order to commence, the student must adhere to the following guidelines:

1. Student must present an official offer letter from the employer stating the following four items. The offer letter must contain all the items below.

I. Beginning and ending dates of employment.
II. Number of hours of employment per week; employment may not exceed 20 hours per week during the fall and spring semesters.
III. Description of internship duties and responsibilities in detail to demonstrate its relevance to your program of study.
IV. Location of the internship.

2. Student must adhere to the Fieldwork schedule and deadlines.

The Department require 3-5 business days to review and process your Fieldwork request. For F-1 visa holders, ISSO will require an additional 5-10 business days. Please communicate this time frame to your prospective employers.

Name Name First Last
UNI
Columbia Email
Visa Status

Visa Status F-1 (Requires 9-months consecutive full time enrollment, or F-1 visa transfer.) F-1 Visa Transfer Student J-1 (Contact ISSO and J-1 Sponsor regarding work eligibility.) U.S. Citizen/Permanent Resident Other Other
Is your internship paid or unpaid?

Is your internship paid or unpaid? Paid Unpaid
For F-1 students only, have you already submitted your application for OPT? *

For F-1 students only, have you already submitted your application for OPT? * Yes No
Location of your internship (e.g. New York, New Jersey)
Academic Term
How many points do you plan on registering for?
For 1 credit, you need to work for a minimum of 100 hours; for 1.5 credits, 150 hours, and for 2 credits, 200 hours (2 credit option is only available during summer term only).
By checking this box, I understand that I am permitted up to 3 credits of IEOR 3999 - Fieldwork over the course of my program. (If you think you may use CPT/Fieldwork more than two semesters, please consider choosing 1 credit.)

By checking this box, I understand that I am permitted up to 3 credits of IEOR 3999 - Fieldwork over the course of my program. (If you think you may use CPT/Fieldwork more than two semesters, please consider choosing 1 credit.) Yes, I understand.
What is the name of the organization that you will be working for?
Supervisor's name
Supervisor's Email
(He/she will submit a letter of evaluation at the end of your internship.)
When is the anticipated start date of your internship? When is the anticipated start date of your internship? / MM / DD YYYY
When is the end date of your internship? When is the end date of your internship? / MM / DD YYYY
Upload your offer letter using the following file naming convention: LastName_FirstName_UNI_Offer.pdf

Attach Files
If Fieldwork is requested after the Add/Drop period, upload the Registration Adjustment Form. *

Attach Files
For F-1 students only, please complete section 1 & 2 of the following Form and attach. *

Attach Files