Educational Agreement and Evaluation FormsEducational Agreement • April 20th, 2016
Contract Type FiledApril 20th, 2016Name of Student: Name of Agency: Description of agency services:Field Instructor’s name, employment title, and credentials Term/year: Field Instructor signature: Student signature: Faculty Liaison signature: Date:Date: Date: Signatures indicate agreement with all terms stipulated in the Educational Agreement.Copies: One for each person who signs Work schedule (include days & hours, coverage in student's absence, make-up arrangements for absences) Supervision: (day, time, where, with whom) Other staff with whom the student is expected to work to complete assignments: (include names & titles) Space and facilities for intern