Applications / Forms
The Center for Information Media has provided the following forms and information for your convenience.
Download Acrobat Reader to view PDF documents: 
Undergraduate
- Information Media Major Plan of Study Form (PDF: 992K / 1 page)
- Instructional Technology Certificate (PDF: 24K / 2 pages)
Graduate
- Application forms to Graduate Studies for U.S. and International students are available at the Graduate Studies web site. (Recommendation forms and applications for graduate assistantships are also available.)
- Instructional Technology Certificate Application
(Microsoft Word: 48K / 1 page)
- Instructional Technology Student Data Form (PDF: 36K / 1 page)
- Instructional Technology Program Form (PDF: 44K / 1 page)
- E-Learning Certificate Application
(Microsoft Word: 48K / 1 page)
- E-Learning Student Data Form (PDF: 48K / 1 page)
- E-Learning Program Form (PDF: 52K / 1 page)
- Graduate Student Checklist (PDF: 88K / 3 pages)
New IM graduate students should follow this checklist to ensure they complete the necessary steps for their program.
- Program Sheets
After taking the Preliminary Written Exam and Oral Interview, the Program of Study Forms are completed. Fill out Page 1 of the chosen program and print out the complete Page 1 and Page 2. Copy pages 1 and 2 back to back before submitting the sheets to your advisor for signature.- Program of Study Form Instructions (PDF: 40K / 1 page)
- Track I (Information Technologies)
- Plan A, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan B, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan C, Page 1 (Microsoft Excel: 12K / 1 page)
- Page 2 (Microsoft Excel: 12K / 1 page)
- Track II (Educational Media)
- Plan A, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan B, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan C, Page 1 (Microsoft Excel: 12K / 1 page)
- Page 2 (Microsoft Excel: 12K / 1 page)
- Track III (Instructional Design and Training)
- Plan A, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan B, Page 1 (Microsoft Excel: 12K / 1 page)
- Plan C, Page 1 (Microsoft Excel: 12K / 1 page)
- Page 2 (Microsoft Excel: 12K / 1 page)
- Choosing Your Plan (PDF: 72K / 2 pages)
Use this form for help in choosing Plan A, Plan B, or Plan C for your program of study.
- Entrance Exam Criteria (PDF: 160K / 4 pages)
As part of the application process to Information Media, the entrance exam requires an interview and written autobiography. Review the directions and criteria for the Entrance Exam.
- Library Media Specialist Competencies (PDF : 20KB/2 pages)
These competencies must be met in order to obtain a school library media licensure in Minnesota.
- Practicum Waiver Request Form (PDF: 12KB/1 page)
Part or all of the completion process, the Center for Information Media requires a written exam and an exit interview. Review the directions and criteria for the Written Exam and Exit Interview.
- Comprehensive Written Exam and Exit Interview (PDF: 52K / 1 page)
As part of the completion process, the Center for Information Media requires a written exam and an exit interview. Review the directions and criteria for the Written Exam and Exit Interview.
- Petition Form (PDF: 24K / 1 page)
