Internship Learning Contract Cover Sheet

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Internship Learning Contract Cover Sheet
(Please attach this sheet to the front of the learning contract.)
Please Print:
INTERN NAME __________________________ MAJOR _______________________________
PLACEMENT SITE _______________________ SCHEDULED HOURS___________________
(12 hours per 3 credits)
FACULTY ADVISOR ___________________ AGENCY SUPERVISOR ___________________
CREDITS _________
To achieve the goal of meaningful student learning and professional experience, the agency, faculty
advisor, and participating student agree to the following requirements:
PARTICIPATING STUDENT:
1) Work the contracted number of hours per week during the course of the academic term.
2) Fulfill the required fieldwork and academic components of the internship as outlined in this
contract and go beyond when feasible.
3) Follow the procedures, policies, and regulations of the sponsoring agency/ organization in an
ethical and responsible manner.
4) Complete written journal requirements.
SPONSORING AGENCY/ ORGANIZATION:
1) Evaluate the student’s work and progress as an intern fairly and continuously in relation to the
learning objectives included in this contract.
2) Make a genuine effort to give the student meaningful assignments that are in the best interest of
the student’s educational and professional goals.
3) Complete a final evaluation of the student’s performance at the conclusion of the internship.
4) When possible, meet with the student’s faculty advisor.
FACULTY ADVISOR:
1) Meet with the student intern on a regularly scheduled basis to discuss theoretical and practical
aspects of the internship.
2) Evaluate the intern’s performance based on criteria established at the outset of the internship
(performance in agency/ organization, discussions, final paper, etc.).
3) At the conclusion of the student’s internship, recommend a S/U grade.
4) When possible, meet the student’s agency/ organization supervisor.
_____________________________ _________
____________________________ _______
Student’s Signature
Date
Faculty Advisor’s Signature
Date
_____________________________ _________
Agency Supervisor’s Signature
Date

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