School of Politics and Global Studies

School of Politics and Global Studies

Arizona State University

INTERNSHIP AGREEMENT

Student Information:

Name
Email
Cell Phone

Internship Information:

Agency/Office of Internship
Agency Supervisor of Intern
Title
Agency Address
Phone
Website
Email
Date on which internship / Begins
Ends
Internship is to be for / semester hours of academic credit

Work Hours:

Mon / From / To
Tue / From / To
Wed / From / To
Thu / From / To
Fri / From / To
Sat / From / To
Sun / From / To

Job Description:

Describe specific tasks, duties, and responsibilities of intern. Please include the % of “substantive” work and the % of “secretarial” and/or “helper/aid” work. This is to be filled out by internship supervisor with his/her email address so I can verify the duties.

Learning Objectives:

List three specific learning objectives of this internship (what do you, as the intern, hope to learn/accomplish by the end of the internship? Be clear and specific. Why is it important (Why). (How): Describe the specific activities by which you will accomplish each learning objective. Filled out by intern.
Objective 1:
Significance:
Implementation:
Objective 2:
Significance:
Implementation:
Objective 3:
Significance:
Implementation:

Academic Component of Internship:

The following academic requirements are to be met by each intern:

There is an on-line component of this class that the intern MUST participate in, in order to earn POS 484 credit, regardless of whether the intern is earning 1 or 6 POS 484 credits. There will be on-line assignments, with due dates, as well as peer to peer on-line work, resume writing, and other assignments/activities listed in the POS 484 syllabus, to be available by July 2010. By typing or signing his/her name on the form below, the intern agrees and is bound to the obligations that go with earning POS 484 credit. The academic component does NOT replace the practical work that is gained at the specific internship, and the intern will NOT work on the academic work at the internship, unless s/he has the explicit approval from his/her director. By typing or signing his/her name on the form below, the internship supervisor acknowledges that everything on this form is accurate or to the best of the knowledge of the supervisor.

Student’s Signature / Date
Supervisor Signature / Date