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

INTERNSHIP FORMS

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

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 ______

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______

Preferred internship location(s)(if any) ______

______

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

______

______

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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 ______

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______

• 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.

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

Reason ______

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1. How beneficial to you were the internship activities? Score _____

Reason ______

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

Reason ______

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Descriptive Responses:

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

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

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

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7. Do you have any further comments to share?

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______

______

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Thanks!

Internship Time Sheet

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

Intern’s name ______Organization ______

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 ______

• 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