Fillable FIELD EXPERIENCE AGREEMENT CJ4860 I. GOALS OF THE (Weber State University)

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FIELD EXPERIENCE AGREEMENT CJ4860 I. GOALS OF THE (Weber State University)

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FIELD EXPERIENCE AGREEMENT
CJ4860
I. GOALS OF THE STUDENT: List at least three specific goals you wish to accomplish
through this internship that you cannot achieve in a classroom setting. (These should be
filled out prior to meeting with the agency supervisor.)
II. ACTIVITIES AND DUTIES. In consultation with the agency supervisor, list the nature
of the activities and duties that will be assigned in conjunction with this field experience
and how this might relate to the student’s goals.
ACTIVITY RELATIONSHIP TO GOALS
The student agrees to take responsibility for the terms of this agreement and the agency
supervisor agrees to supervise and provide an evaluation for the student in the field experience,
based upon the terms of this agreement.
Student Signature
Supervisor Signature
Student Name
Supervisor Name
Date: ____________________
______________________________________
Agency Name
(Please attach a business card if possible)
Semester/Year: ___________________
Date: ____________________
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FIELD EXPERIENCE AGREEMENT CJ4860 I. GOALS OF THE (Weber State University)

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Completed 1 September 2020

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