Fillable 2020 Internship Handbook (Western Nebraska Community College)

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2020 Internship Handbook (Western Nebraska Community College)

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Internship Manual

and

Forms Packet

2019-2020

PREFACE

Western Nebraska Community College (WNCC) recognizes that there are

important elements of career preparation which cannot adequately be taught within

the confines of the classrooms of the college. WNCC offers credit-bearing

internship opportunities through many of its degrees and certificate programs. The

goal of the internship is to provide students with the necessary real-life, on-the-job

employment experiences to help prepare them for a future in their chosen career.

The WNCC Internship Manual and Forms Packet is provided to assist students,

faculty, and employers who will be participating in the internship program to

understand the requirements and considerations of internship for credit at WNCC.

Although individual departments may need to adapt certain material to meet

specific program needs, agreements and evaluation forms are consistent across

departments, so that students’ outcomes are consistent.

It is our hope that each student’s internship experience is rewarding and

worthwhile for all involved. Ongoing evaluation of the internship program will be

important. Please feel free to contact us with any questions you may have.

Tonya Hergenrader Amy Zitterkopf

Career Pathways & Advising Director Career Pathways Advisor

(308) 635-6346 (308) 635-6336

OVERVIEW OF WNCC INTERNSHIPS

Frequently Asked Questions

What is an internship?

It is work-based learning that ties academic education to the workplace. Students

participate in relatively short-term work placements, paid or unpaid. An internship

may or may not be tied to academic credit at WNCC. Internships that are tied to

academic credit are guided by learning objectives and evaluated by both the

employer and a WNCC faculty sponsor. WNCC does not require a formal

evaluation for internships that are not tied to academic credit, and these

experiences will not show up on students’ transcripts.

What is the difference between an internship and a practicum?

A practicum requires an in-class component of learning and is always tied to

academic credit at WNCC. Practicums are not paid learning experiences.

Internships, as stated above, can be paid or unpaid, and may or may not be tied

to credit. Also, internships do not require any in-class learning experiences, but

may require prior in-class learning experiences.

What is an internship for academic credit?

WNCC offers internship courses that are tied to various programs of study. For

example, ENGR 2500 - Engineering Internship, is the course that is tied to the

Engineering program. Internship credit hours will be determined by the student,

employer and faculty sponsor based on the terms of the contract. Each credit hour

requires the completion of a minimum sixty (60) hours of on-the-job participation

within a semester (summer, fall or spring). Maximum credit hours earned for each

internship course is three (3) or one hundred-eighty (180) hours. It is possible for

students to take more than one internship course in one semester. Internship

courses may be repeated, meaning that students can complete more than one

internship for credit during their time at WNCC, but the maximum number of credits

that can be earned for internships is twelve (12).

How does internship credit apply to a degree program?

For some programs of study, internship courses are required in order to graduate.

For others, internship credits are optional and are tied into the curriculum as a

choice, but will count toward core program completion for graduation. For

programs of study that do not tie internships into requirements for graduation, but

offer internship courses, the courses will count as elective credit only.

How are learning objectives and outcomes established for internship

courses?

Learning outcomes are set forth in the internship course syllabi, and are created

by the faculty sponsor. These broad outcomes describe the expected discipline-

specific result(s) of the internship experience for the student. Learning objectives

are created by the student and employer together to define and target worksite-

specific learning activities that promote achievement of the overall learning

outcomes.

Guidelines

Assessment: To effectively assess students’ internship experiences at WNCC,

the following requirements are to be completed and evaluated by the respective

faculty sponsors by the last day of finals week of each semester:

● Employer validation of the number of internship hours completed by the

student, which will be documented on the Internship Timesheet and Daily Log

form;

● Faculty evaluation of student learning outcomes that are set forth in the course

syllabus for the respective internship (faculty evaluation and assessment may

vary by program);

● Employer evaluation of the intern’s performance during the internship which

will be documented on the Intern Evaluation Form. Each evaluation form will

be tied to learning objectives that are set forth in the Internship agreement for

the respective internship.

eyond these minimum requirements, assessment of internship experiences is

left to the discretion of the faculty sponsors and may include additional

assignments

or projects.

Financial Considerations: Students must pay tuition and any placement-

related expenses and/or requirements for credit internships based on the

semester hours attempted. Financial Aid may be applied in the same manner

as credit hours for traditional courses, as long as the student has eligibility for

financial aid.

Students should be prepared to pay for any costs associated with the

internship such as travel, meals, tools and/or uniforms and childcare.

Insurance Coverage: Western Nebraska Community College does not

provide students with insurance coverage for their internship. Students are

responsible for providing sufficient health, accident, disability and

hospitalization insurance to cover themselves during the internship. It is

the student’s responsibility to determine whether any insurance is available

through the employer or is otherwise required and all students are responsible

for ascertaining whether their program site provides Workers Compensation

coverage for the student.

If students utilize a personal vehicle during their internship, WNCC provides no

insurance for students to operate a personal motor vehicle and also has no

liability for injury or property damage which may result from that use. Students

must rely solely on their personal vehicle insurance coverage and on any

insurance coverage provided by the participating employer.

Risk of Participation: WNCC itself does not control the way in which

internship sites are structured or operate. In granting credit for this internship

experience, the College affirms that,

to the best of its knowledge, the experience

is an appropriate curricular option for students in WNCC’s program of study and

worthy of college credit; however, it makes no other assurances, express or

implied, about specific arrangements made by students and an internship site

nor any travel and living arrangements the student has made. Students are

strongly encouraged to make an on-site visit to any internship site under

consideration before finalizing their internship agreement.

WNCC does not knowingly approve program opportunities which pose undue

risks to their participants. However, any program or travel carries with it

potential hazards which are beyond the control of the College, its Board of

Governors, officers, agents or employees. As part of this internship program,

each participant will be presented with an Internship Waiver & Release of

Liability form outlining potential dangers and risks.

Considerations for International Students: International students can only

work in the

U.S. after receiving authorization and with certain restrictions.

International students may still need to seek authorization even if an internship is

unpaid. It is the student’s responsibility to know the rules and regulations of their

status to avoid any loss of legal immigration status.

According to U.S. Immigration regulations, 8 Code of Federal Regulations

214.1(e): “A nonimmigrant who is permitted to engage in employment may engage

only in such employment as has been authorized. Any unauthorized employment

by a nonimmigrant constitutes a failure to maintain status…”

In general, international students on a Student Visa are only allowed to participate

in internships that are tied to academic credit and are directly related to their

programs of study. It is very important that international students plan their

internship experiences well in advance, as an intentional component of their

degree programs. Also, as set forth in the Student Visa eligibility requirements,

international students must not work more than 20 hours/week total, which

includes paid internships and other student employment. For example, if an

international student is working 10 hours/week at Bishop Dining Hall, he or she

may not work more than 10 additional hours/week at an internship site.

Anyone who anticipates working with an international student for an internship

should complete the International Student Intern Consideration Form and submit

to the Registrar’s Office.

Course Objectives: A syllabus and internship agreement packet that

include course content, specific outcomes and evaluation procedures must be

agreed

to by the internship faculty sponsor and the student prior to the start of

the internship. Employers will agree to support course outcomes and to

complete an Internship Timesheet and Daily Log and Intern Evaluation Form at

the end of the internship. Please note that course objectives are not the same as

required internship learning objectives.

INTERNSHIP REQUIREMENTS

Student Intern:

1. Student must have completed a minimum of twelve (12) credits in program-

specific coursework that is related to the internship as determined by t

department and Faculty Sponsor. For example, a student completing an

internship in biology must have completed a minimum of 12 credits related to

biology. Note: individual academic departments may set forth more rigorous

requirements.

2. Students must have a minimum 2.5 cumulative GPA in program-specific

coursework to be eligible to register for credit-bearing internship. Students

with a program-specific GPA lower than 2.5 must obtain special approval

to register for an internship course from both a faculty sponsor and the

Career Pathways & Advising (CP&A) Internship Coordinator.

3. Students will meet with their faculty advisor or a faculty sponsor first to:

• Discuss the possibility of an internship and seek faculty approval to

enroll in an internship course

• Obtain and complete the Internship Application

• Discuss learning objectives associated with the internship

• Learn about academic requirements associated with the course

• Set expectations for communication between student, faculty

sponsor and employer

The faculty sponsor for the internship must teach for the department in

which the internship course is offered, and must agree to sponsor the

student internship experience.

4. Students will meet with the CP&A Internship Coordinator second (either

individually

or as a class for required internships) to go over the following:

• Resume & cover letter (if appropriate)

• Appropriate work attire

• Appropriate work communication and time management

• Interview skills

• Internship expectations and timelines

• Thank yous, follow-ups, and general etiquette

• Complete appropriate paperwork (which will require faculty

signature) to enroll in course for internship.

5. The third step will be for students will contact the employer associated with the

desired internship sit

e to complete any necessary application materials, conduct

an interview, and tour the site. If selected for the internship, students must

ensure

that all qualifications required by the company are met prior to internship start

date. Students must also complete the following:

• All required paperwork by Western Nebraska Community College

(WNCC) and the employer, including but not limited to Internship

Application, Internship Waiver and Release of Liability form, Internship

Agreement, and Intern Feedback Form. This paperwork can be

completed electronically via College Central Network (CCN) - https://

www.collegecentral.com/wncc.

• Inform employer of any health conditions that may impact the work

required.

• Schedule internship hours to meet the employer’s needs as well as

WNCC’s requirements for credit if participating in the internship for credit

program.

• Work collaboratively with internship faculty and the employer to

identify learning objectives, strategies, and learning outcomes relating

the internship activities to academic studies.

6. Throughout the internship experience, students must:

• Complete and retain weekly time and activity logs for submission to

internship faculty as required.

• Work toward fulfillment of learning objectives, complete any

assignments, and complete number of required internship hours.

• Approach responsibilities with dedication, enthusiasm, and maturity.

Represent WNCC positively and responsibly.

• Be aware of and comply with both WNCC Student Code of Conduct and

related policies and procedures as well as internship organization

policies and procedures. Always bear in mind that WNCC is being

represented through the intern. Complete Intern Feedback Form at the

conclusion of the internship.

Career Pathways & Advising Internship Coordinator :

1. Sc

reen applications, waivers, and all initial forms required to be submitted by

student.

2. Assist student with submission of forms online (CCN) and route to

appropriate individuals for electronic approval.

Internship Faculty Sponsor:

1. Determine student eligibility for internship and assist with determination of

internship site and relevancy of internship to student program of study.

2. Provide student with the Internship Application form and assist with

completion of the form.

3. Refer s

tudent to Career Pathways for next steps.

4. Determine eligibility for WNCC internship course and appropriate number

of credit hours.

5. Complete all required paperwork by WNCC and the employer. This

paperwork can be completed electronically via College Central Network

(CCN) - https://www.collegecentral.com/wncc.

6. Work with student and employer to identify specific learning objectives,

strategies, and learning outcomes relating the internship activities to

academic studies.

7. Maintain contact with student, employer, and work-site supervisor.

8. Monitor student activities and progress through regular meetings, which

may include on-site v

isits.

9. Address any questions or concerns of the student and work-site

supervisor.

10. Review Intern Timesheet and Daily Logs.

11. Review Intern Evaluation Form, Intern Feedback Form, and any other

required project materials.

12. Determine and assign final grade.

13. Assemble final packet containing daily/weekly time sheets,

evaluation/feedback forms and all required student work. Send this to CP&A

for retention of records.

3. Assist student with the following:

• Resume & cover letter (if appropriate)

• Appropriate work attire

• A

ppropriate work communication and time

management

• Interview skills

• Internship expectations and timelines

• Thank yous, follow-ups, and general etiquette

4. Retain all required internship documentation within the Career Pathways &

Advising Center.

5. Assist faculty sponsors with internship coordination as necessary.

Employer and Work-site Supervisor:

1. Provide training to the intern regardless of race, color, religion, national

origin,

sex or gender, sexual orientation, age, disability, marital status, or

military veteran status.

2. Assign a work-site supervisor who has the time and ability to assist with

intern supervision, training, mentoring, and evaluation.

3. Maintain communication with WNCC faculty sponsor and work-site

supervisor throughout the duration of the internship experience.

4. Assist the student and internship faculty in identifying specific learning

objectives, and strategies relating the internship activities to academic

studies.

• Two (2) learning objectives are required for each academic credit

associated with the internship.

5. Provide the student with the appropriate orientation and training for the

internship setting and projects.

6. Provide meaningful assignments and projects, within the constraints of the

student’s time and abilities, to enhance and complement the student’s

academic program goals.

7. Address any questions or concerns of the student and/or the internship

faculty as they arise.

8. Evaluate the student’s internship performance by completing the Intern

Evaluation Form. Discuss the evaluation with the student.

9. Notify WNCC and the internship faculty of any personnel actions which may

affect the student’s standing in the internship.

EMPLOYER GUIDELINES

On-Site Orientation

It is recommended that all employers conduct an on-site orientation. This is an

opportunity to provide information and instruction to the student(s). It is important

that students become familiar with your organization and staff, understand their

responsibilities, learn about organization policies, and attend any necessary

training. The more information that you can cover during the on-site orientation,

the more prepared student(s) will be to work at your organization. Please

encourage students to ask questions and give them feedback about appropriate

behavior at your organization.

The following are some suggestions for what you may want to include in your on-

site orientation:

1) Organization Information: Educate the student(s) about your

organization: Whom do you serve? What are the demographics? How are you

funded? What is your mission? What is your philosophy? What is your history?

2) Staff: Who are some of the staff, and what are their positions and

responsibilities? Are there any technical terms or language generally used by staff

that would be helpful to student(s) to know?

3) Provide a List of Contacts/Numbers: List people/agencies that will be

useful for student(s) in doing their internship.

4) Responsibilities: What is expected of the student(s)? Describe the role

student(s) will play in your organization. How will their performance be evaluated?

5) Policies: Sign-in/out, dress code, office rules.

6) Training: If training is needed, what kind and when?

7) Scheduling: What are your organization’s hours of operation? What hours

are the student(s) expected to be there? When should student(s) complete their

internship? When will you meet with student(s) during the semester to review

work they have done independently?

8) Supervision: It is important that all internship students have a contact

person at the site who will supervise them. The amount of time each student will

need supervision will depend on the project or internship activity. Students may be

allowed to work independently without specific activities assigned each visit. When

structured this way, supervision time can be more effectively utilized for questions

and feedback. If the assigned work-site supervisor will not be available for any

reason, please make certain that the student has another site representative

available if needed.

It is important to remember that students are not volunteers. Students are here to

meet internship requirements and enhance their learning of college course

material and the workplace. Students are receiving academic credit for learning

through their internship efforts. Your assistance in helping interns think about what

their experience means to them and how it relates to their coursework is very

valuable. Additionally, it is important that interns are assigned meaningful tasks

that relate to their learning experience as opposed to menial tasks or “busy work”.

9) Sign-In Procedure: Students are required to have a sign-in time log

completed every time they come to your organization. We ask students to have

their work-site supervisor or someone from your organization sign their weekly

timesheet and daily log at the end of each work week, or more frequently at the

faculty sponsor’s discretion. The student will use one Intern Timesheet and Daily

Log form for each week they work at the internship organization. The Intern

Timesheet and Daily Log forms will then be submitted according to the

requirements set forth by individual faculty sponsor. (The student is responsible

for retaining this documentation)

10) Identification: Provide students with identification from your organization

or require students to have their WNCC identification available.

NOTE: International students on a student Visa require special consideration regarding paid

hours worked and documentation for said work. WNCC Registrar’s Office will provide

guidance on a case by case basis.

INTERNSHIP APPLICATION

Student Information

Complete all requested information. Please print.

This application applies to the following academic session (indicate year in space provided):

FALL ___________ SPRING___________ SUMMER __________

Your Name: Date:

WNCC ID: Email:_____________________________________

Program-Spec

ific GPA: _______________________

* Note: if you need help calculating your GPA for program-specific coursework, contact the Career

Pathways & Advising Office at 308-635-6050.

Home phone: ___________________________

Cell phone:

Local Address: _________________________________________________________________

Street address

City S

tate Zip code

Perm. Address: ___________________________________________________________________

Street address City State Zip code

Are you an international student (check one)? YES NO

Please use this space to explain how this internship will relate to your academic and career goals:

Internship Site Information (if

known)

Internship Site Preference: ________________________________________________________

Contact Person: ________________________________________ Title: ____________________

Contact Phone:________________________________ FAX: _____________________________

Email: __________________________________________________________________________

Address: _______________________________________________________________________

Street address

City

State Zip Code

Anticipated hours per week:

Anticipated total hours for period of internship:

Give a brief description of anticipated type of work/responsibilities:

Is the internship paid (circle one)? YES NO

Student Signature Date

FOR WNCC STAFF & FACULTY USE ONLY

Approve

Pending

Disapprove

Reason for Disapproval:

________________________________________________________

Internship Faculty Signature

_________________

Date

___________________________________________________

Career Pathways & Advising Internship Coordinator Signature

_________________

Date

INTERNSHIP WAIVER & RELEASE OF LIABILITY

NOTICE: This release form is a contract with legal consequences. Please read it carefully before signing.

Student Name (Last, First, MI): ___________________________________ WNCC ID ________________________

Period of Internship: Semester: _________________ Academic Year: ____________________________

Internship Course: _____________________________________ Internship Site ________________________

In consideration for being allowed to participate in an internship as part of my academic pro

gram, I hereby acknowledge

and agree as follows:

I understand that the Western Community College Area, doing business as Western Nebraska Community College

and WNCC (hereinafter collectively “WNCC”) does not require me to participate in the internship and I have

voluntarily chosen to participate.

2. I understand and acknowledge that there are significant risks to which I may be exposed by participating in this

internship, including but not limited to, risks arising from:

● Commuting to and from the internship site, or while in the course of internship activities;

● Activities indoors and/or outdoors and working with equipment at the internship site;

● Acting in an unsupervised capacity while participating in the internship and the internship involves hazards that

are unknown and/or unseen.

3. I knowingly and voluntarily assume the risk that unexpected events may occur and result in harm, injury, or even

death to me while I am participating in internship work or activities or in connection with transportation to and from

the destinations or any associated food or lodging. I hereby and forever release, waive and discharge for myself, my

heirs, executors, administrators, legal representatives, assigns, and successors in interest, any and all claims,

demands, actions or right of action, of whatever kind or nature, either in law or equity, which I may have or accrue

against WNCC, its Board of Governors, administrators, officials, agents, officers, employees, and the suppliers of

equipment, materials and services (collectively known as WNCC), as well as those individuals, governments, and/or

business entities working with WNCC in the internship programs, (collectively known as placements), for any and all

damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation

or association with the class, internship, or travel related to any of the aforementioned activities or events.

4. I release WNCC from liability for any and all claims of negligence I may have or assert against them individually or

collectively, with the exception of gross negligence or willful and wanton misconduct. I understand that I am

responsible for any medical charges relating to any injury received, as a result of this activity, and it is strongly

recommended that I have adequate health and accident insurance coverage prior to starting this internship.

5. I have read and fully understand that this waiver and release of liability is intended to be as broad and inclusive as

permitted by the laws of the State of Nebraska and agree that if any part is held invalid, the remaining parts of this

waiver and release will continue in full force and effect as intended. I further agree the venue for any legal proceeding

shall be in the State of Nebraska.

___________________________________

________________

Student Signature

Date

PARENT OR GUARDIAN OF A MINOR:

I, as parent or guardian of the below named minor, a person under the age of 19 years, hereby give my permission for my child or

ward to participate in this internship and further agree, individually and on behalf of my child or ward, to the terms of the above

contract for waiver of legal rights.

________________

Date

____________________________________________

Parent or Guardian Signature (if student is under 19)

EMERGENCY NOTIFICATION

Relationship: __________________________

Work Phone: ___________________

BE IT KNOWN THAT, if neither my emergency contacts nor my physician is available at the above contact numbers, I, the

undersigned student, do hereby give and grant consent to the provision of emergency medical treatment to the extent that treatment

is necessary in the medical opinion of the doctor rendering the treatment.

________________________________________________________________________

Student Signature

____________________________

Date

_______________________________________________________________________

Witnessed by:

____________________________

Date

_______________________________________________________________________

Parent or Guardian Signature (if student is under 19)

____________________________

Date

Emergency Contact Name: _____________________________________

Home Phone: __________________________

Cell Phone: _____________________

_______________________________________________________________________________________________________

Address

________________________________________________________________________________________________________

City, State, Zip

econdary Emergency Contact Name: ________________________________

Relationship: _________________________

Work Phone: ___________________

Home Phone: __________________________

Cell Phone: _____________________

_______________________________________________________________________________________________________

Address

____

____________________________________________________________________________________________________

City, State, Zip

INTERN TIMESHEET AND DAILY LOG

Keep a daily record of your hours and major activities. You and your work-site supervisor must sign this form each week,

at a minimum, to verify your hours worked. All timesheet/logs must be submitted to the Faculty Sponsor at the end of

every month. Use one sheet for each week.

Intern: ________________________________ Site: ________________

Work-site Supervisor: ___________________

Week of: From ____ / ____ / _____ To ____ / ____ / _____

Date

Time

out

Time

out

Daily

hours

Total hours for week:

Intern Signature:_________________________________________________ Date: __________________________

Work-site Supervisor Signature:____________________________________ Date: __________________________

Major Activities

Initial/Signature

INTERN EVALUATION

Intern’s Name:____________________________________________________ Date: _____________________

Work

-site Supervisor: _____________________________________ Title: ______________________________

Company/Organization: _______________________________________________________________________

Work-site Supervisor Contact Phone: ____________________ Email: __________________________________

Internship Faculty: __________________________________ Department: ______________________________

Dates of internship: From (mm/dd/yy) ____________________ To (mm/dd/yy) _______________________

Please evaluate the intern’s performance in the following areas:

Exceeds

Expectations

Meets

Expectations

Below

Expectations

Not Applicable

a. Willingness to learn

b. Professional Attitude

c. Knowledge of Subject

d. Dependability and Responsibility

e. Productivity

f. Ability to Communicate Effectively

g. Conformance to Organizational Policies

and Procedures

h. Initiative

i. Organization and Completing Tasks

j. Cooperation with Co-workers and

Supervisors

k. Punctuality

l. Resourcefulness and Ability to Problem

Solve Independently

1. Overall performance of student intern (circle one):

Unsatisfactory Fair

Average

Above Average

Excellent

2. Extent to which student met or exceeded learning objectives associated with internship (circle one):

Above Average Excellent

If you rate the student below average on #2, please explain below:

3. If

you were to write a job recommendation for this intern, what assets, strengths, and job skills

would you mention?

4. Wh

at skills or abilities could use improvement?

5. Additional comments on your intern or the internship experience:

Work-site Supervisor: Please review and discuss this evaluation with the student.

SIGNATURES:

____________________________________________________________ ____________________________

Work-site Supervisor Signature Date

My signature ack

nowledges that this evaluation has been discussed with me. I do not necessarily agree with the contents.

__________________________________________________________

Student Signature

____________________________

Date

Unsatisfactory

Fair Average

click to sign

signature

click to edit

INTERN FEEDBACK FORM

Intern’s Name: ___________________________________________ WNCC ID#: ___________________

Work

-site Supervisor:______________________________________ Title: ________________________

Internship Organization: ________________________________________________________________

Work-site Supervisor Contact Phone: _____________________ Alt. Phone: _______________________

Internship Faculty: __________________________________ Department: ________________________

Dates of Internship: From (mm/dd/yy) ___________________ To (mm/ddy/yy) _____________________

Indicate the degree to which you agree or disagree with the following statements:

Strongly

Agree

Opinion

Disagree

Strongly

Disagree

a. The orientation and training was sufficient to

familiarize me with the organization.

b. My duties were fully explained and

easonably in line with my learning contract.

c. The work environment was appropriate

or my internship activities/duties.

d. My work-site supervisor was well organized.

e. My work-site supervisor gave appropriate

feedback.

f. My work-site supervisor was accepting

my feedback.

g. My work-site supervisor was supportive

and perceptive.

h. My work-site supervisor set realistic goals in

terms of complexity and time restraints.

i. My classroom experience prepared me for

this internship.

click to sign

signature

click to edit

click to sign

signature

click to edit

1. Comments on above responses (optional):

2. Over

all experience as an intern in this organization (circle one):

Unsatisfactory Fair Average Above Average

Excellent

3. Extent to which you feel you met or exceeded learning objectives associated with internship (circle one):

Unsatisfactory Fair Average Above Average Excellent

4. Were your internship role, the organization, and your supervisor what you expected them to be? If not,

how did your expectations differ from the reality of the placement?

5. Are there improvements/changes you would like to see in this internship placement?

__________________________________________________________

Student Signature

____________________________

Date

*****Please return to internship faculty when complete.

Do not give to your work-site supervisor.

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signature

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Phone:

INTERNSHIP AGREEMENT

WNCC ID:

Phone:

Student Name:

Email:

Interns

hip Faculty Name: Email:

erm: Fall 20____ Spring 20____ Summer 20____

Student agrees to intern with:

nternship Organization:

nternship Address: City, State, Zip Code:

ork-site Supervisor: Title:

ork-site Supervisor Email: Phone:

ours per Week Agreed to: Total Internship Hours Agreed to: Academic Credit Hours to be Earned

(determined by WNCC):

eginning Date: Completion Date:

tudent Internship Role:

Brief Description of Duties:

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LEARNING OBJECTIVES AND STRATEGIES: These items are to be completed via the cooperative

efforts of the intern and the employer. Input by both parties is crucial, and the completion of this section is

necessary for the approval of the internship. You must be specific. The student needs two (2) learning

objectives per credit hour earned. It is recommended that students utilize the SMART method to outline

learning objectives. See attached template.

Intern: I agree with all components of this learning contract; and I will adhere to the objectives, strategies, and

evaluation methods of the contract to the best of my ability.

Signature of Intern Date

Signature of Internship Faculty Date

Signature of Career Pathways & Advising Internship Coordinator Date

Work-site Supervisor: I have read this learning contract, and I attest that its components meet the expectations for an

internship with my organization. I agree to conduct a final evaluation of the intern and to participate in a site visitation if

requested.

Signature of Work-site Supervisor Date

ternship GPA Waiver Form

As set forth in the WNCC Internship Manual, students must have earned a 2.5 program-specific GPA

(minimum) at the time of application to participate in an internship for college credit. A program-specific GPA

is calculated using only the completed courses that are considered core requirements in a program of study.

In the event that this minimum requirement is not met, the faculty sponsor and Career Pathways and Advising

Internship Coordinator can approve internships on a case by case basis. Please complete this application and

return to the Career Pathways and Advising office.

tudent Name:

Student ID:

Program of Study:

Current Program-Specific GPA:

lease provide a brief statement explaining other qualifications you may have that should be considered for

this internship experience, and/or extenuating circumstances that may have contributed to not meeting the

minimum GPA requirement.

___________________________________________

____________

Faculty Sponsor Date

___________________

________________________ ____________

Career Pathways and Advising Internship Coordinator Date

International Student Intern Consideration Form

This form is intended to be turned in to the intern employer for their information. International students have

specific restrictions on the amount of paid hours they are allowed to work in a week when school is in session

(ie- outside of summer or any breaks during the academic year). This form outlines all paid hours being

currently worked by the student. International student paid work hours must not exceed 20 hours per week

total.

Student Name____________________________________________________

Is this individual a student worker? Yes No

If yes, how many hours per week does this individual work? __________

If yes, how many additional hours per week would this individual be eligible to work for a paid

internship for credit? _________

_____________________________________________ __________

Registrar Signature Date

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SMART Learning Objectives Template

Internship Manual & Forms Packet

Student Name____________________________________________________________________

Internship Site____________________________________________________________________

Internship Site Supervisor___________________________________________________________

Faculty Sponsor___________________________________________________________________

SMART Learning Objectives

The acronym "SMART" stands for Specific, Measurable, Attainable, Relevant, and Timely. The

purpose of this form is to provide a format for students and employers to devise two (2) learning

objectives per credit hour of internship course. For example, a student who plans to register for three

credit hours should work with his/her employer to devise six (6) learning objectives that are relevant

to internship site activities during the performance period. The SMART template guides students,

employers, and faculty in capturing pertinent information about the actions steps and progress made

towards achieving the student’s goals as they pertain to this work-based learning experience.

• Objectives should relate to student’s specific program of study

• Objectives should relate to internship site work activities

• Objectives should be challenging, but attainable

• All objectives should be written in the SMART format

SAMPLE: During the Fall 2020 semester, student will learn to assist customers with troubleshooting

office software, including Microsoft Word and Excel, over the phone with less than a 3% error rate.

___________________________________ __________

Student Signature Date

___________________________________ __________

Employer Signature Date

___________________________________ __________

Faculty Sponsor Signature Date

Learning Objective #1:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

Learning Objective #2:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

Learning Objective #3:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

Learning Objective #4:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

Learning Objective #5:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

Learning Objective #6:

_______________________________________________________________________________________

Specific: What exactly will you accomplish?

_______________________________________________________________________________________

Measurable: How will you know when you have met this objective?

_______________________________________________________________________________________

Achievable: Is achieving this objective realistic with effort and commitment? Have you got the resources to

achieve this objective? If not, how will you get them?

_______________________________________________________________________________________

Relevant: How is this learning objective relevant to the internship work activities? How is it relevant to

student’s program of study?

_______________________________________________________________________________________

Timely: When will you achieve this learning objective?

_______________________________________________________________________________________

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2020 Internship Handbook (Western Nebraska Community College)

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Completed 26 July 2020

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