Appendix C: Student AgreementStudent Agreement • September 20th, 2018
Contract Type FiledSeptember 20th, 2018Personal Data Student Name: Career Goal/Interest: Local Address: Permanent Address: Local Phone: Permanent Phone: Email: Other Contact Information: Academic Information Status: Sr. Jr. So. Fr. Faculty Advisor Major(s): Minor(s): Internship Information Name and Title of Site Supervisor: Description of Proposed Internship: Address of Site Supervisor: Telephone of Site Supervisor: Email of Site Supervisor: Number of Credit Hours Being Requested: Starting Date of Internship: Ending Date of Internship: Date Final Report Due: Your signature below indicates agreement to all the requirements of the Internship as outlined inthe Internship Manual. Student Signature: Date: For Office Use Only:Approved: Approved Credit Hours: Date: