Internship full contract - George Fox University

GEORGE FOX UNIVERSITY
Internship Contract
Student: Phone: ( )
Email:
Faculty Advisor: Semester: Year:
Major:
Internship Site:
Address:
# of Internship Credits:
City: State: Zip:
Site Supervisor: Phone: ( )
Email:
Description of Site:
Website:
This agreement is established among George Fox University, the above named internship site, the site
supervisors, and the above named intern in cooperation to provide an academic internship. The scope of the
agreement is focused on the general activities planned and the assignment of responsibilities among parties.
It is agreed and understood that the following contract outlines the time commitment, job duties, and
respective responsibilities of the student intern and internship site. It is agreed and understood that the
internship site will assume responsibility for the student intern in terms of performing necessary hiring
protocol (e.g., interview, background check, training, orientation, etc.).
Site Agreement
It is agreed and understood that this internship site will serve as the training facility for the above named
intern for a minimum of _____ clock hours for the semester listed above, with responsibilities to include:
Provision of internship experience that includes tasks and projects that align with the intern’s
learning objectives.
Provision of a site supervisor, an individual trained and qualified in the area over which they
supervise.
Provision of orientation to organization’s policies and procedures, including safety precautions and
emergency protocol.
Communication with GF Career Services site supervisor, _________________, as necessary.
Supervisor Agreement
It is agreed and understood that supervision of the above named intern shall be provided and governed by
the following responsibilities:
Provision of individual supervision at least one hour weekly. If for any reason, the assigned
supervisor should change, George Fox’s Director of Career Services will be notified.
Assist student intern in identifying relevant tasks and projects that lead to the completion of the
student’s learning objectives.
Completion and signing of necessary documentation and quarterly evaluations.
Communication with George Fox’s Director of Career Services as necessary.

GEORGE FOX UNIVERSITY
Faculty Advisor Agreement
It is agreed and understood that the above named George Fox Faculty Advisor shall provide and be
governed by the following responsibilities:
Counsel intern in determining appropriate learning objectives for the internship.
Completion and signing of necessary documentation and quarterly evaluations.
Communication with George Fox’s Director of Career Services as necessary.
Student Intern Agreement
It is agreed and understood that the above named George Fox Intern will remain at the internship site
named above for the duration of the semester to accrue a minimum of __________ clock hours,
commencing _____________________ and ending approximately _____________________. The
intern further agrees to be governed by the responsibilities of this internship site. In the event that the
student chooses to terminate the contract prior to completing the minimum number of hours listed above,
the student must give two weeks notice in writing to his or her site supervisor and George Fox Director of
Career Services. The student intern may forfeit any hours accrued as well.
LEARNING OBJECTIVES
Please complete this section in cooperation with your George Fox Faculty Advisor: 5 to 7 objectives are acceptable.
A learning objective is a statement in specific and measurable terms that describes what the intern will know
or be able to do as a result of engaging in the internship. Effective learning objectives are consistent with the
goals of the curriculum, clearly stated, clearly measurable, realistic and attainable, appropriate for the level
of the internship, and valuable.
Examples: Upon completion of the internship experience, the intern will be able to:
Define theories of counseling and personality as they relate to diverse populations.
Apply principles of marketing and branding to develop a campaign for web-based media.
Evaluate patient progress through…
Explain the process for …
Distinguish the different aspects of …
Design …
Upon completion of the internship experience, the intern will be able to:
1. _____________________________________________________________________
_____________________________________________________________________
2. _____________________________________________________________________
_____________________________________________________________________
3. _____________________________________________________________________
_____________________________________________________________________
4. _____________________________________________________________________
_____________________________________________________________________
5. _____________________________________________________________________
_____________________________________________________________________
6. _____________________________________________________________________
_____________________________________________________________________
7. _____________________________________________________________________
_____________________________________________________________________

GEORGE FOX UNIVERSITY
SPECIFIC INTERNSHIP RESPONSIBILITIES & SCHEDULE
Please fill this section out with your Site Supervisor. Hours will not count until contract is signed and submitted.
Please list the day-to-day activities and responsibilities of your internship or attach a formal job
description.
Daily Tasks & Semester Projects:
1. _____________________________________________________________________
_____________________________________________________________________
2. _____________________________________________________________________
_____________________________________________________________________
3. _____________________________________________________________________
_____________________________________________________________________
4. _____________________________________________________________________
_____________________________________________________________________
5. _____________________________________________________________________
_____________________________________________________________________
6. _____________________________________________________________________
_____________________________________________________________________
7. _____________________________________________________________________
_____________________________________________________________________
Anticipated Schedule:
Monday Tuesday Wednesday Thursday Friday Weekend
Your signature indicates that you have read, understand, and commit to the agreements listed
above.
________________________________ ________________________________ ________________
Site Director (please print) Signature Date
________________________________ ________________________________ ________________
Site Supervisor (please print) Signature Date
________________________________ ________________________________ ________________
Faculty Advisor (please print) Signature Date
________________________________ ________________________________ ________________
Student Intern (please print) Signature Date
________________________________ ________________________________ ________________
Director of Career Services Signature Date
Submit completed forms to:
Bonnie Jerke, Director of Career Services
George Fox University Stevens Center 114
414 N. Meridian Street #6009 local (503) 554-2330
Newberg, OR 97132 fax (503) 554-2339
Email: careers@georgefox.edu
www.careers.georgefox.edu