APPENDIX A
INSURANCE ACKNOWLEDGEMENT
Instructions:
Please read the statement below. After reading the statement, please sign and date
the form acknowledging that you have read and understood the content of the paragraph.
This form must be returned to the university supervisor before an intern can begin her/his
internship.
Winthrop University assumes no responsibility for the student’s personal
liability. An intern working for an outside agency is legally and financially liable, if
another person is injured as a result of an intern’s action or omission of duty to act.
Public agencies, city, county, state and federal, provide liability coverage to the
intern. Private or commercial agencies may or may not. Paid interns are
considered employees of the agency and are entitled to liability and insurance
coverage. Unpaid interns may be covered for liability but not for insurance. While
most full-time undergraduate students have health and liability insurance coverage
through their parent’s homeowner policy, it is recommended that the issue of
insurance be completely understood to all parties prior to undertaking the
internship. Internship agencies vary greatly in terms of benefits and provisions for
their interns. Student may also want to consider private short-term liability
insurance plans. Such policies are available through professional organizations.
Print Name:______________________________________
Intern’s Signature:_________________________________
Date:____________________________________________
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signature
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