Internship Contract

Environmental Studies

1376 Storrs Road Storrs, CT 06235-4087

Phone: 860-486-5218


EVST 3991 Internship Contract

Student Name: Student ID#: Student Email:
Student Address: Student Phone#:
Start & End Dates of Internship: Number of Credits: Academic Advisor:
Faculty Supervisor: Faculty Email: Faculty Phone#:
Employer Name: Employer Street Address:
Internship Supervisor name and title: Supervisor Email: Supervisor Phone#:
Internship Title:
Work Schedule:
Description of position and duties:
Internship Learning Objectives:
Tasks and/or activities to achieve objectives:
Learning Product(s):



I.Internship Contract: Students must complete the Internship Contract. The student, Faculty Supervisor, Internship Supervisor, and EVST Director must sign the contract.

II.  Faculty Supervisor: The Faculty Supervisor for all internship work must be a University of Connecticut faculty member. The Faculty Supervisor is responsible for assigning the internship grade.

III. Internship Supervisor: The student must have an assigned internship supervisor at the work site. The Internship Supervisor must agree to supervise the work and participate in the evaluation of the student’s performance at the end of the internship.

Grading: Grading for EVST 3991 will only be offered on a Satisfactory/ Unsatisfactory basis.

The student will be subjectively evaluated by the Internship Supervisor in a report to be sent to the Faculty Instructor at the end of the internship period. This evaluation will be based upon the intern’s work performance of assigned tasks during the internship period. The Faculty Supervisor will review the evaluation and assign a final grade.

_________________________________________                                    __________________________

Signature of Student                                                                         Date

_________________________________________                                    __________________________

Signature of Faculty Supervisor                                                      Date

________________________________________                                    __________________________

Signature of Internship Supervisor                                                 Date

_________________________________________                                    __________________________

Signature of EVST Director                                                             Date


Once contract is complete, please submit to Sara Tremblay in Young 220.

EVST Internship Contract (EVST3991)