Internship Contract

Read and follow these instructions carefully:

1. Complete this form by typing into the space provided; submit to the internship office prior to starting your internship.

2. You must also submit an official, detailed internship description on company letterhead 3. The internship must be completed during the same quarter you are registered for credit. 4. A grade will be given for the internship based on evaluations from you and your supervisor.

Student Information

Name: Student I.D.:

Phone: E-mail:

Address:

City/State/Zip:

Employer Information

Company/Organization:

Supervisor’s Name & Title:

Supervisor E-mail:

Phone:

Address:

City/State/Zip:

Course Credit Information

1. Date of Internship: From (mm/yy) to (mm/yy)

2. (Input an X in place of the box that corresponds to the internship class you are registering)

Undergrad: MFJS 3980 EDPX 3980

Graduate: MFJS 4980 EDPX 4980

3. CRN #:

4. Quarter:

5. # of Credits:

6. Estimated total number of internship hours: (1 credit = 40 hours of internship)

2

IMPORTANT NOTES:

- If your internship spans multiple quarters, you must re-submit these forms each quarter.

- You must attach to these forms an official internship description on company letterhead, as drafted by your internship supervisor.

Student Requirements

At the conclusion of the internship, students will complete a self-reflexive report. This report, along with an evaluation completed by their internship supervisor, will determine the student’s grade.

Required Signatures

I/we understand the internship contract/process and will adhere to its requirements.

Student signature Date

Supervisor’s Signature Date

Internship Director, Media, Film & Journalism Studies Date