Fieldwork Written Report Exemption Form

Please complete this form if you are requesting to be exempt from submitting a written internship report and supervisor evaluation.

If approved an exemption, students must conduct a 15-minute verbal presentation in the IEOR Office at the end of the internship. Students will need to present the following:

1. General commentary about what it was like to work in a professional environment.

2. General commentary about how academic experience/courses prepared the individual for an internship in the respective industry.

Name Name First Last
UNI
Columbia Email
Program
Fieldwork Term (Semester and Year)
Company Name
HR/Supervisor Manager Name HR/Supervisor Manager Name First Last
HR/Supervisor Manager Email
Have you already been approved for Fieldwork?

Have you already been approved for Fieldwork? Yes No
If no, please submit your Fieldwork request for our review.

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Rationale for Request

Fieldwork Written Report Exemption Form

Fieldwork Written Report Exemption Form

If no, please submit your Fieldwork request for our review.