Internship Guide/forms (Page 4 of 6) in pdf

Internship Guide/forms Page 4

Internship Supervisor Form

To be filled out and submitted to the Meek School before intern begins work

Student name: ____________________________________________

Employer Name:___________________________________________

Address: _________________________________________________

Supervisor’s name, title_____________________________________

Email: ___________________________ Phone:_________________

Intern’s expected duties: ____________________________________

________________________________________________________

Internship dates: From __________________ to _________________

Number of hours per week (must be at least 20): ________ Paid?____

Supervisor’s signature: ________________________ Date:________

Thank you for providing this opportunity to our student.

Return to:

Deidra Jackson, Director of Academic Advising

Meek School of Journalism and New Media

The University of Mississippi

114 Farley Hall

University, MS 38677

Telephone: 662.915.1547

Fax: 662.915.7765

Email: djackson@olemiss.edu

Internship Guide/forms Page 4