Agreements and Signatures. DISTRICT OF CHOICE/PLACEMENT – This signature is required for both discretionary and mandatory agreements. The Board of Trustees: ⬜ DISAPPROVES ⬜ APPROVES this application subject to receipt of transportation/tuition charges stated on the application. Print Name of Chairperson, Board of Trustees: Signature of Chairperson, District of Choice/Placement: Date:
Agreements and Signatures. Employer: I have reviewed this Internship/Field Work Agreement with the student and we have agreed upon the assigned work and learning components appearing above. I agree to provide assistance, training, consultation and periodic review in order to assist the student in meeting his or her goals and primary learning objectives; and provide an orientation to our organization, policies and procedures. I understand that the student must report to the place of business and working from home or in a home-based business does not constitute an internship. I will submit an end of term review of the student’s work performance after discussing it with the student. Program Director: Student: International Programs Xxxx:
Agreements and Signatures. Student Intern: I concur with and accept the academic and work assignments indicated above. I understand and will adhere to the internship registration procedure and the policies outlined on the Experiential Learning Waiver. I accept the obligation of confidentiality in my work and will familiarize myself with and adhere to the organization’s relevant policies/procedures and appropriate standards and ethical conduct.
Agreements and Signatures. Student: I concur with and accept the academic and work assignments indicated above. I understand and will adhere to the field placement registration procedure and the policies outlined on the Experiential Learning Waiver. I accept the obligation of confidentiality in my work and will familiarize myself with and adhere to the organization’s relevant policies/procedures and appropriate standards and ethical conduct. _______________________________________________________________________________ Student Signature Date Site Supervisor: I have discussed the field placement with the student and we have agreed upon the assigned work components appearing above. I agree to provide training and consultation to the student in order to achieve the above learning objectives, provide information concerning our organizational policies and procedures and meet with the student regularly. _______________________________________________________________________________ Field Placement Site Supervisor Signature Date Faculty Sponsor: I have discussed the academic component of this field placement with the student. We have reached agreement on the learning objectives as indicated above. I further agree to meet regularly with the student to discuss the field experience. I will conduct an assessment/evaluation and do an on-site visit if possible. _______________________________________________________________________________ Faculty Sponsor Signature Date ___________________________________ ____________________________________ Department Chair Signature Date Advisor Signature Date
Agreements and Signatures. Employer: I have reviewed this Internship/Field Work Agreement with the student and we have agreed upon the assigned work and learning components appearing above. I agree to provide assistance, training, consultation and periodic review in order to assist the student in meeting his or her goals and primary learning objectives; and provide an orientation to our organization, policies and procedures. I understand that the student must report to the place of business and working from home or in a home-based business does not constitute an internship. I will submit an end of term review of the student’s work performance after discussing it with the student. Division Faculty Internship/Field work Supervisor: Student: Assistant Xxxx:
Agreements and Signatures
