Internship Learning Contract Cover Sheet printable pdf download

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

Internship Learning Contract Cover Sheet