Western Albemarle High School
5941 Rockfish Gap Turnpike, Crozet VA 22932
(434) 823-8700 FAX# (434) 823-8711
Mrs. Bertrand, internship teacher,
INTERNSHIP INFORMATIONAL LETTER
TO PARENTS, STUDENTS AND INTERN SPONSORS
Western Albemarle High School offers a wonderful opportunity for students who are dedicated to their career planning and education. The internship program is designed for juniors and seniors who are interested in experiencing “first hand” a particular career or career field. Students who participate in the internship program work with a professional in the community to gain experience and insight into their chosen career interest. This program offers students the opportunity to explore careers in law, medicine, veterinary medicine, computer science, finance, accounting, administration, sales, journalism, music, photography, art, architecture, engineering, technology, manufacturing, crafts, agriculture, and many more. Students choosing to participate in the internship program would receive a high school course credit, in lieu of payment from the intern sponsor.
Participation in this program requires the student to work at the internship site. The student will be required to provide his/her own transportation to and from the internship site. The interns will meet regularly with the program coordinator to discuss relevant topics relating to employment, as well as issues and concerns relating to their specific internship placement.
The student intern will be required to:
ü Report to the internship site during scheduled internship block (4 hours per week)
ü Maintain good attendance
ü Report to the internship site on time
ü Call the intern sponsor and the program coordinator when he/she cannot report to work
ü Maintain a web site/blog and time sheets on a daily basis
ü Create a final summary of the internship for use at curriculum expo/banquet (ex: display)
ü Meet with the program coordinator during assigned times
ü Complete all assigned job and classroom duties correctly and in a timely manner.
The student intern must be dependable, responsible, punctual, and have a desire to intern within a professional environment. Success in the program will depend upon the parent's support and the student's commitment. The program coordinator and teachers will provide on-going direction and support to help ensure success.
Should the student decide to withdraw from the program, he or she should decide to do so within the first week of the semester. In the event the student fails to comply with the organizational and program standards, policies, and regulations, the student may be dismissed from the program without receiving course credit.
The parent or guardian must indicate approval for his/her son or daughter to participate in the internship program by written consent. (Separate form)
If there are any questions or concerns regarding the internship program, please call Caroline Bertrand, the program coordinator at Western Albemarle High School.
Western Albemarle High School does not discriminate on the basis of race, creed, sex, national origin, age, military status, or disability.
Reasonable accommodations will be provided to persons with disabilities if requested.
Western Albemarle High School
5941 Rockfish Gap Turnpike, Crozet VA 22932
(434) 823-8700 FAX# (434) 823-8711
Mrs. Bertrand, Internship Teacher,
INTERNSHIP PROGRAM
PARENT PERMISSION, LIABILITY WAIVER & INSURANCE VERIFICATION FORM
DATE:______
To Parent/Guardian of:______(Please complete all blanks and sign in 3 places)
Part I
PERMISSION: I have read the information concerning the WAHS Internship Program (refer to the Informational Letter) and give my permission for my son/daughter ______to participate in this program. I understand that participation in this program requires each student to provide his/her own transportation to and from the intern site. I understand that my child must meet the application requirements to be considered for the program.
X______
Signature of Parent/Guardian Date
Part II
EMERGENCY AUTHORIZATION: In the event I cannot be reached in an emergency, I hereby give permission to staff of Western Albemarle High School or Internship Teacher to secure proper treatment for my child.
Parent Daytime Phone #:______Cell # ______
Person (other than parent) to contact in case of emergency:______Phone #:______
Part III
LIABILITY:
I hereby agree to waive and release any and all rights that I, my child or our representatives may have to make a claim against the internship host, or Albemarle County Public Schools or their respective officers, employees or representatives arising from any injury or damages, including attorney’s fees, that may result from my child’s participation in the WAHS Internship Program.
I further agree to indemnify and hold harmless Albemarle County Public Schools or their respective officers, employees or representatives from any claims, including attorney’s fees, which I or my child might make or which might be made on my or our behalf by others, or which might be made against me or my child by others, arising from my child’s participation in the WAHS Internship Program.
X______
Signature of Parent Date
Western Albemarle High School does not discriminate on the basis of race, creed, sex, national origin, age, military status, or disability.
Reasonable accommodations will be provided to persons with disabilities if requested.
Part IVINSURANCE: WAHS does not provide accident insurance for students or interns. In order for a student to be eligible to participate in the internship program sponsored by Western Albemarle High School, the intern’s parent or guardian must confirm that the student is covered by accident insurance to the parent’s satisfaction. Complete the information below confirming that your child has accident insurance and return to the internship coordinator.
Please Print All Information
Student Name:
Student Address:
Parent(s)/Guardian(s) Name:
Parent(s) Phone: Day Night
Physician Name: Phone #:
Physician’s Address:
INSURANCE VERIFICATION : Please check all that apply.
_____My child has STUDENT ACCIDENT INSURANCE through the school.
_____My child is covered for injury by our Family Policy, which is:
Insurance Company Name:______
Policy Holder’s Name:______Insurance Policy Number:______
I will notify the WAHS Coordinator if insurance coverage for my child changes during the year.
X______
Signature of Parent Date
STUDENT CONTACT:
Please your (the student’s) email address: ______
Albemarle High School does not discriminate on the basis of race, creed, sex, national origin, age, military status, or disability.
Reasonable accommodations will be provided to persons with disabilities if requested.
WESTERN ALBEMARLE HIGH SCHOOL
5941 Rockfish Gap Turnpike, Crozet VA 22932
(434) 823-8700 FAX #: (434) 823-8711
Caroline Bertrand, internship teacher,
INTERNSHIP APPLICATION PROCESS
The student must complete the Internship Application Form and return to Mrs. Bertrand.
The student must return a signed Parent Permission, Liability Waiver & Insurance Verification Form to Mrs. Bertrand.
The student must present verification that he/she is enrolled in the School Accident Insurance Program or is covered through a family policy.
The student must register with school counselor for internship (0 period usually).
The student must contact Mrs. Bertrand to finalize internship plans. You do not need to have an internship site in place to sign up for internship, but you must commit to locating one with assistance.
Once plans are finalized, complete the Internship plan.
Internship Syllabus
Students are responsible for locating the internship opportunity with assistance from the internship sponsor. Internship may be in the field of the student’s choice. Most internships are unpaid because they are professional learning opportunities. Students are expected to work 4 hours/week at the job site and must provide transportation. Grades will be based on the following documentation.
Time Sheets 25%
Due on Monday following each week.
A maximum of 5 points may be earned per week for meeting required Monday due dates. For each day late, 1 point will be deducted. Should forms be delivered one week late, a zero will be
earned for that particular week.
Blog/Web Site 15%
Entries due on Monday following each week.
Intern Sponsor’s Performance Evaluation 40%
At end of each nine weeks
Mrs. Bertrand will contact employer for completion of the evaluation form.
Exam 20%
First semester exam: complete and present a display/PowerPoint at curriculum expo.
All students: Display/PowerPoint at end-of-year banquet with independent study students.
Western Albemarle High School does not discriminate on the basis of race, creed, sex, national origin, age, military status, or disability. Reasonable accommodations will be provided to persons with disabilities if requested.
Western Albemarle High School
5941 Rockfish Gap Turnpike, Crozet VA 22932
(434) 823-8700 FAX# (434) 823-8711
Caroline Bertrand –
INTERNSHIP PROGRAM – PLAN
Student name: / Job title: / Home phone:Cell phone: / Email:
Business name: / Address: / General phone:
Supervisor name: / Supervisor title: / Telephone: / Email:
Student schedule: / Days scheduled to work: / Times scheduled: / Pay (if applicable):
Initial duties for student:
Expected duties after initial training, if student performs adequately:
Student agrees to take advantage of the training opportunities offered by the internship by going above and beyond the expectations of the workplace.
Supervisor will offer training opportunities as appropriate to the student’s abilities and give student and teacher feedback on performance.
Parent will assist with transportation if necessary.
Teacher will contact employer every 9 weeks or more frequently if necessary to assist employer and student with placement.
Student signature and date: ______
Supervisor signature and date: ______
Parent signature and date: ______
Teacher signature and date: ______