Name: ____________________________________________________________
Internship Site: ___________________________________________________
Please write WHAT the student’s duties and responsibilities will be. You may write on this sheet or attach an Internship Description. You may fax this form to: Sharman Brown, Internship Coordinator, 401-874-4722 or give to student intern to give to me
I, ____________________________________ (your name) agree that I will allow the student intern, ________________________________________( student’s name) the necessary 40-45hrs. per credit commitment in order to complete the ______________(# of credits college credits seeking). The mutual goal, along with the university & student intern, is to have a reasonably safe environment with the necessary tools to perform the internship. If, after consulting with Sharman Brown (Internship Coordinator) there is any reason that I feel this internship experience isn’t working to my expectations I may terminate. You may pay the student for this experience, but you are not obligated to do so. Also, if at any point there is ANY work place violation I will let Sharman Brown know.
Supervisor’s Signature: ___________________________________ Date: ____________
Sharman Brown Signature: _________________________________ Date: ____________