Center for Labor Research & Studies/Department of Global & Sociocultural Studies

INTERNSHIP FORMS

Student’s Contact Information

Date ______

Name ______

Panther ID ______

Email address ______

Telephone number(s) ______

Student’s Academic Information

GSS major ______

Anticipated semester/year of graduation ______

Current GPA: major ______overall ______

SYA 3300 (Research Methods): semester/year taken ______grade ______

Student’s Internship Request Information

Semester/year of requested internship ______

Primary area(s) of internship interest ______

______

Preferred internship location(s)(if any) ______

______

Primary interests and any special skills (such as foreign language, signing, or others)

______

Hours of your availability for the internship

Monday ______Tuesday ______Wednesday ______

Thursday ______Friday ______Saturday ______

Sunday ______

Transportation to the internship site: private car _____ public transportation _____

How long can you commit to the internship? ______

Semester Credits and Weekly Internship Work Hours

Students earn 3 credits with the satisfactory completion of SYA 3949. Up to 6 credits of SYA 3949, taken during any two semesters, can be applied to a GSS major.

SYA 3949 requires 10-12 internship work hours per week. (Note: If Summer C’s internship work hours are carried out exclusively in either Summer A or Summer B, then 20-24 internship work hours per week are required.)

Resume and Cover Letter

Resume Date ______

Cover letter Date ______

Internship Guidelines Agreement

As an intern, I agree to abide by the following ethical and behavioral guidelines:

To abide by the rules, regulations, policies, and procedures of the internship organization.
To dress appropriately for the internship.
To keep the scheduled internship work hours.
To work in respectful cooperation with the internship organization’s staff.
To respect the civil and legal rights of all clients served.
Not to discriminate against any client, employee or prospective employee on the basis of race, sex, creed, national origin, religious preference, or sexual orientation.
To abide by the policies and procedures regarding confidentiality of records and information.
Not to use the internship to secure special personal privileges.

Student’s signature ______Date ______

Information about Confirmed Internship

Permission to enroll in SYA 3049:______Date ______

Signature of GSS Internship Director

Internship organization and contact information:

Organization ______

Address, telephone, and email or other contact information ______

______

Supervisor’s title and name ______

Internship status: paid ___ unpaid ___ credit ___ non-credit ___

Internship semester/year ______

Internship start date______

Internship Requirements: Submission Dates

Resume ______

Cover letter ______

Internship position/work description (to be completed by the student and the internship organization supervisor) ______

Internship program agreement (to be completed and signed by the student and signed by both the internship organization supervisor and the GSS Internship Program Director) ______

Internship time sheet (to be completed and signed by the student and the internship organization supervisor) ______

Mid-term research notes ______

End-of-semester research notes ______

Research paperor alternative project ______

Internship organization supervisor’s signed evaluation of the intern’s work ______

Student’s evaluation of the internship ______

Exit interview (student with GSS Internship Program Director) ______

Student’s brief library video presentation completed ______

Student’s Evaluation of Internship

The purpose of this form is to suggest where improvement can be made regarding the quality of the internship experience. This form is to be completed by the intern at the beginning and final week of work and to be submitted to the GSS Internship Director for discussion in an exit interview.

Using a scale of 1=Poor, 2=Fair, 3=Average, 4=Good, 5=Excellent, please score each internship question and then state your reason for your response.

How prepared was your supervisor to put you to work? Score _____

Reason ______

______

How beneficial to you were the internship activities? Score _____

Reason ______

______

How prepared was your supervisor to put you to work? Score _____

Reason ______

______

Descriptive Responses:

4. Were some activities less beneficial to you, and why? ______

______

5. What changes in the internship, if any, would you recommend for the future?

______

6. What could be done, in your opinion, to improve services/programs within the organization or to improve the organization in general?

______

7. Do you have any further comments to share?

______

Thanks!

Internship Time Sheet

Center for Labor Research & Studies/Department of Global & Sociocultural Studies

Intern’s name ______Organization ______

DATE / ACTIVITY/LOCATION / TIME
IN / TIME
OUT / # HOURS / SUPERVISOR’S
INITIAL

Grand total number of hours worked ______

Intern signature ______Date ______

Supervisor signature ______Date ______

SUPERVISOR’S EVALUATION OF INTERN

Center for Labor Research & Studies/Department of Global & Sociocultural Studies

Supervisor’s name and title ______

Name of organization ______

Name of intern ______Date/year ______

I. Knowledge / 1. General Knowledge of subject matter related to internship / 1
poor / 2
fair / 3
average / 4
good / 5
excellent / Comment
2. Knowledge sufficient to understand functions/structure of organization.
3. Identifies and obtains needed procedures for accomplishment of assigned tasks.
II.
Performance / 1. Ability to schedule activities and follow through on schedule.
2. Ability to learn new skills, methods, and ideas.
3. Ability to complete tasks adequately and promptly.
4. Ability to complete any written reports.
5. Respect for confidentiality.
III.
Professional
Relationship / 1. Maintains professional, courteous, and cooperative relations with staff.
2. Maintains professional, courteous, and cooperative relations with clients/public.
3. Understands & relates appropriately with
4. Handles new situations with poise.
IV. Professional Discipline / 1. Ability to plan ahead, schedule and lay out tasks to make the most effective use of time, personnel and materials.
2. Adheres to standards of ethics and behavior.
3. Observes required working hours and is willing to make up time as needed.
4. Follow through on assignments on-time.
V. Use of Supervision / 1. Brings questions to supervisor.
2. Shares responsibility for evaluating own strengths and weaknesses.
3. Asks for & uses supervisor’s help in enhancing knowledge & skills.
VI. Overall Rating

Total number of hours credited to the intern ______

Submitted by ______Date ______

Internship Supervisor’s Signature

This evaluation has been reviewed and discussed with me:

______Date ______

Intern’s Signature