1. MCOM 585 Media, Communication and Technology
Internship Application
Parts A, C, D and E of this application and the permission to enroll card are to be completed by you. After
completion, meet with your advisor for review. Your advisor will then complete part B of this form. If
your application is approved a letter of agreement between East Stroudsburg University's Department of
Media, Communication and Technology and the internship agency will be sent to complete the
arrangements.
You cannot begin your internship before you have completed registration and the agreement letter is
signed and returned to East Stroudsburg University.
Register for MCOM 585 Internship (3 credits)
Part A Part B
Name: Blair Thallmayer To be completed by advisor:
ESU Address: Linden Hall Room # 301 MCOM Grade Average ___________
E. Stroudsburg, PA 18301 Incompletes in major _____________
ESU Phone: (570) 422- 4954 ESU Grade Average ______________
Student ID #: 000121139 Signature _______________________
Address while interning: Linden Hall Room # 301 Date __________________________
Phone: (215) 837-4707 (Cell Phone )
Internship starting date: August 31, 2009
Internship completion date: Decemer 18, 2009
Daily work hours: 6
Part C: Internship Agency
Name: Office of Disability Services
Address: Rosenkrans East Building at ESU
Phone: (570) 422- 3161 Fax: (570) 422- 3898 Email: jwalton@po-box.esu.edu
Supervisor's name: Dr. Julianne Albiero- Walton

2. Part D
1. Briefly describe the agency where you are proposing to intern by describing the type of agency,
number of employees and years of operation.
East Stroudsburg University is committed to providing equal education access to otherwise
qualified students with disabilities. Using Section 504 & ADA as guidelines, ESU has provided equal
educational opportunitites and full participation in any university program and/or activity with the
help of the Office of Disability Services (ODS). ODS offers accommodations and services to students
with documented learning or physical disabilities that result in a substantial limitation of a major live
activity. Help is determined by documentation and faculty members, four of whom work to provide
equal educational opportunity for all students using assistive technology. Assistive Technology
specializes in assisting eligible students with their needs, through the use of computer programs,
taped textbooks, talking calculators, reading pens, college achievement training seminars (CATS) and
others as needed.
2. Give background information of your proposed supervisor such as education, experience, and
years with the agency.
Dr Julianne Albiero-Walton is a Professor at East Stroudsburg University in the Academic
Enrichment and Learning area, as well as a disabilities specialist. She graduated in 1988 from the
University of Scranton with a B.S., in 1989 from the University of Scranton with her M.S. and in
2001 from Argosy University/Sarasota Ed. D.
3. Give succinct directions as how to get from East Stroudsburg University to where you would be
interning, the estimated travel time, parking instructions, and visitor registration, if any.
The Office of Disability Services in located at ESU in the Rosenkrans East Building.
Contract sent: August 31, 2009
Contract received _____________________

3. Part E (Please attach to this application.)
On a separate sheet of paper prepare a detailed typewritten paragraph job description of your internship
that the internship agency has developed for you. This description must be professional in appearance and
correctly typed, with no spelling or grammatical errors. It will be sent to the agency supervisor and should
be a reflection of your best writing abilities.
The Office of Disability Services (ODS) is an agency that I would like to intern at for the Fall
2009 semester. At ODS I wish to work six hours per week and my primarily goal is to be trained to use
assistive technology; I will also assist in training student to use these devises. Assistive Technology is any
device that is used to maintain, or to improve the functional capabilities of individuals with disabilities.
My second goal is contacting students with disabilities and meeting them to discuss academic concerns
and accommodations. Examples of accommodations and auxiliary aids include, but are not limited to:
qualified interpreters, note takers, extra time for exams, and educational materials in alternative format.
Referral for serious issues will be made to the appropriate professional (e.g., Disability Services Director,
Disabilities Specialist; CEO or SSS Counselor, depending on program). The next outcome that will be
obtained involves supporting students with disabilities in developing self-adovacy skills and encouraging
students to meet with professors to request appropriate adjustments. When appropriate, I will lend a hand
in contacting outside agenices (e.g., Office of Vocational Rehabilitation [OVR], and/or Blindness and
Visual Services [BVS]). When appropriate, I will review disability documentation and assist in assessing
appropriate accommodations; in addition to facilitate with the College Achievement Training Seminars
(CATS). As a student intern, I will be asked to serve as a reader/scriber for examinations for eligible
students. Student interns at ODS, such as myself, have the opportunity to participate in related research
under the direction of the Disability Services Director or the Disabilities Specialist. All contacts with
students must be documentd; this includes both telephone and face-to-face sessions. I am advised to use
discretion with their documents and strict confidentiality must be maintained. The objective of the
Internship is to give myself experience in a professional setting wherein the competencies I’ve gained
through course work can be applied and further developed.
On a second page prepare a typewritten paragraph describing the qualifications that you possess for
applying for this internship.
The dual degree of Elementary and Special Education obtained as an undergraduate student at
East Stroudsburg University has prepared my talents in the classroom to help all children succeed.
Working towards my Masters of Education in Instructional Technology and Pennsylvania Instructional
Technologist Specialist Certificate has developed further qualities for effective instructional theories and
practices. As a graduate student in the technology field I have developed my knowledge and learning
styles in many ways including research, technology pedagogy, technology integration and technical skills.