Site Supervisor Signature definition

Site Supervisor Signature. Date: For College Use Only: As authorized representatives of the State University of New York, College of Agriculture & Technology at Cobleskill, I approve the above agreement between listed parties. Xxxx Signature: Date:

Site Supervisor Signature. Date: ______________ Student Name:   Student Signature: _____________________________________________________ Date: ______________ Phone Number: (   )   -   Email:   University Supervisor Name:   University Supervisor Signature: _________________________________________ Date: ______________ Phone Number: (   )   -   Email:  

Site Supervisor Signature. Date: COLLEGE: Agrees to assign a Faculty Coordinator to assist the student in developing SMART Measurable Learning Objectives and make periodic contact with the Site. Faculty Coordinator will also determine a grade for the completed Work-Based Learning experience and award College credit based on the student's job performance and completion of required reports.

Examples of Site Supervisor Signature in a sentence

• Student Signature Name (Print) Date Site Supervisor Signature Name (Print) DateAppendix C Parental Consent FormArkansas State University School Counseling Program I, , agree to allow my child to be counseled by,, a practicum/intern student in the School Counseling Program at Arkansas State University.

• Internship Site Supervisor Signature Date Faculty Internship Supervisor: I have discussed the academic component of this internship with the student intern.

• COMMENTS: Student Signature Date Field Site Supervisor Signature Date Adapted from Ladany, Hill, Corbett, & Nutt, 1996.

• Signatures Printed Name of Site Supervisor Signature of Site Supervisor Date Printed Name of Student Signature of Student DateAfter completing this form, please submit it via email to marphtc@pitt.edu as a Word document attachment.

• Site Supervisor Signature: Date: InstructorI have reviewed and approved this learning plan for the student, course, and site as stated above.

• Printed Name of Site Supervisor Signature of Site Supervisor DatePrinted Name of Student Signature of Student Date Please submit the completed EXPO Collaborative Project Proposal via email to marphtc@pitt.edu.

• Host Site: Host Site Executive Director Signature Date Print Executive Director Name Site Supervisor Signature Date Print Site Supervisor Name and Title NeighborWorks Blackstone River Valley/Accessing Home AmeriCorps Program: Xxxxxx X.

• Student Signature of Acknowledgement Date Site Manager/Principal Signature of Acknowledgement Date Site Supervisor Signature of Acknowledgement Date APPENDIX H Montclair State University Counseling Program MEMORANDUM OF UNDERSTANDING Memorandum of Understanding will be provided individually from the Internship Coordinator of the Counseling Program.

• Student Signature Date Site Supervisor Signature Date Internship Coordinator Signature Date Return to: Elyssa B.

• Other supervisionThis week’s total number of supervision non-direct hours: This week’s total number of practicum hours: Site Supervisor Signature: Notes on any of above: (Rev.

More Definitions of Site Supervisor Signature

Site Supervisor Signature. Date: Student, please complete: I understand the tasks and role allotted to me, and agree to complete the practice experience to the best of my ability, barring extenuating circumstances. I give the site or the University permission to release information to my emergency contact when appropriate.

Site Supervisor Signature. Date: Trainee Signature: Date: CSUF Supervisor Signature: Date:

Site Supervisor Signature. Date: Faculty Supervisor agrees to: