1376 Storrs Road Storrs, CT 06235-4087
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#:|
|Description of position and duties:|
|Internship Learning Objectives:|
|Tasks and/or activities to achieve objectives:|
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.