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Department of Communication

New Site Application Form

For Prospective Internship

Please fill out this packet in its entirety, and include a resume, bio or LinkedIn Profile URLforthe person who will supervise the student intern. Return this packet by mail, fax, email or in person:

In Person:Department of Communication Front Desk

Building 14D

Mail to:University of North Florida
Department of Communication Internship Program
1 UNF Drive
Building 14D / Room 2002
Jacksonville, FL 32224
Fax: 904-620-2652
Email:

For more information, please email us at the address above or call us at 904-620-2651.

Attach:1. Site Supervisor Resumeor LinkedIn Profile URL
2. One-paragraph description of the organization
3. A bulleted, detailed job description of the internship duties

For official Office Use Only

UNF Communication Coordinator
______
SignatureDate

NOTES:


Department of Communication

Prospective Internship Site Information Form

Organization Information
Organization Name ______
The exact nature of the organization: ______
______
Owner/CEO/Manager: ______
Company Address ______
City ______State ______Zip______
Web URL of Company: ______
Owner/CEO/Manager Phone______
Owner/CEO/Manager E-mail ______
Internship Supervisor Information
Supervisor: ______
Supervisor Phone:______
Supervisor E-mail: ______

(Please add an additional page if more than one supervisor is going to be considered.)
Note:A resume, bio or LinkedIn Profile URL must be attached for each supervisor.

(It is important that we see the supervisor’s(s’) work history to demonstrate his/her/they expertise/credentials in the professional area.)


Department of Communication
As a prospective internship site for communication majors at the University of North Florida, I understand the organization’s responsibilities listed below:
Please initial:
______I understand a copy of the supervisor’s(s’) resume/bio or LinkedIn Profile URL must be attached to this form. (Must demonstrate supervisor’s(s’) expertise/credentials in the professional area.)
______I will attach a one-paragraph description of the organization along with aletter of intenton my company letterhead with my original signature foreachstudent intern position.This letter will officially offer the internship to the student and must include a bulleted, detailed job description of the intern duties.
______I understand the email address must be recognized as a legitimate email and removed from our organization’s spam filters. This email is the official address for all correspondence from the Department of Communication.

______Prior to hiring interns for my organization, formal interviews will be conducted with prospective communication interns, making the application process as similar to a job hire as possible.
______I understand that all communication interns are only required to work 210hourswithin my organization and that these hours may be completed prior to the end of the semester.
______I understand the company must have a designated office/place where the intern will work unless exempted from this rule by the UNF internship coordinators.
______I agree to provide the intern(s) with meaningful, professionally related tasks.
______I agree to provide adequate supervision of interns and explanation of tasks.
______I agree to meet at least weekly with my intern(s).
______I agree to complete mid-term and final evaluations on all student interns, meet with the interns to discuss these evaluations, and submit these forms to the Department of Communication when required.
______I understand that interns are required to create an ePortfolio and will ensure that any communication interns within my program will be assigned professional work appropriate to be displayed on their ePortfolio.

Please continue to the next page.

Department of Communication

______I understand that if an intern’s supervisor changes during the semester, my organization will provide the Department of Communication with the new supervisor’s name, resume/bio, or LinkedIn Profile URL and contact information.
______I understand that I will provide students with networking opportunities to meet professionals in their field.
______I understand according to the Fair Labor Standards Act by the U.S. Department of Labor, an intern cannot be used in place of a permanent employee.
______I understand that I will contact the UNF internship supervisors regarding issues involving the intern or his/her relationship with the organization’s co-workers. (Including incidences of sexual harassment and discrimination.)
______I agree to assist the UNF Department of Communication when possible by having an organization representative available for the department internship career fairs and in-class presentations if requested.
______I understand if there is more than one UNF communication intern at my company, an internship coordinator may need to be selected to coordinate communication between my organization and UNF.
______I acknowledge that failure to comply with any of the above provisions may result in the removal of the intern(s) from the site and the removal of the organization’s pre-approved status.
I understand the above requirements and request to be an official site for UNF’s Department of Communication internship program. It is also our understanding that this agreement for internship can be terminated at any time.

______
(Print) Internship Supervisor
______
SignatureDate
______
(Print) Organization Owner/CEO/Manager
If different from site supervisor/coordinator
______
SignatureDate

New Site Application Form.doc