OHIO UNIVERSITY
SCHOOL OF COMMUNICATION STUDIES
COMS 4911(Health); COMS4912 (Organizational); COMS4913 (Public Advocacy)
INTERNSHIP CONTRACT

Students please electronically fill out as much information as possible before sending this contract electronically to your supervisor. If you have any questions or concerns contact the Internship Coordinator.

Student’s Name:Phone:

Course Registering For (see above):Credit Hours: _

PID #

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Supervisors this contract acts as an agreement between the organization and the student. We recognize that things may change in the process, but this contract provides a foundation for the student before the internship begins. It also acts as an agreement that upon completion of all of the requirements the student will receive credit for this internship from the School of Communication Studies at Ohio University.

Internship organization: Address:

Department/Division:

Supervisor:Phone: ..

Supervisor’s E-mail: Supervisor’s Title:

The student will work hours per week for weeks to earn credit(must work at least 120 hours)

The internship begins on and ends on .

A.Define the student’s internship responsibilities, i.e., specific tasks or activities involved in the internship. Clerical tasks should not constitute more than 25% of the job and should be relevant to the student’s other responsibilities.

B.List the “deliverable(s) (tangible products or services) expected during or at the end of the student’s internship, e.g., a procedures manual, training packet, PR materials, etc.

C.Indicate the criteria on which this intern will be evaluated (e.g., reliability, accuracy and quality of work, attitude, etc.).

Supervisor (signature): Date:

(Thiscan be electronically signed, but the internship coordinator needs to be CC’d on the

E-mail to the student, for it to be accepted and approved for academic credit)

Student (signature): Date:

Coordinator Signature:

Registered Date:

Please return completed and approved form via mail, e-mail or fax to:

Andrea Iaccheri, Internship Coordinator

School of Communication Studies, Ohio University

010 Lasher Hall, Athens, Ohio 45701

Fax: 740-593-4810

COMS Internship Contract1