Request For Approval Of Internship Page 4

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Sponsor’s Description of the Written Work Required of the Student for Successful Completion of the Internship:
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Sponsor’s Additional Requirements for Successful Completion of the Internship: ________________________________________
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I have read and agree to the above terms of this Internship.
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Student’s Signature
Date
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Faculty Sponsor’s Signature
Date
Faculty Sponsor’s Printed Name
I have reviewed the above request and approve of the terms and design of the Internship.
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Faculty Advisor
Date
Department chairperson to retain form in departmental files for two years from beginning of current term for
possible review by the appropriate college courses committee and the Senate Committee on Courses of Instruction.
Davis Division Regulation 532.

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