Fillable Form 2022: Internship Qualification Form (University of Central Florida)

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Form 2022: Internship Qualification Form (University of Central Florida)

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Internship Qualification Form
UCF ID:
(7 digits)
Complete this form to confirm that you have received and accepted an offer for an internship.
Name:
Major:
Term of the Internship:
SPR
SUM FALL
2020 2021
2022
Will you be taking the internship for course credit?
Yes
No
Will you be using Internship for credit: (check one circle) ___ In the Major | ___ For 120 requirement
What is your anticipated graduation date?
Name of Employer (provide full name of the organization):
Title of your internship position: _
Hours
per week:
Compensation
Type:
Hourly
Stipend
Unpaid
Hire Date:
Pay Rate:
Internship Experience Mentor/Supervisor Information
Include complete and accurate contact information about your mentor/supervisor below.
Supervisor Full Name: ___________________________________________________
Job Title: ____________________________________________________________________________
Supervisor Phone: _______________________________________________
Supervisor Email: _____________________________________________________________________
Complete this form and email (4) items to the Internship Coordinator:
1 - Internship Qualification Form
2 - Offer letter/Email (showing proof that you were selected for the Internship)
3 - Job description written by the Employer
4 - Resume used for application
*These four items must be submitted in order to verify the organization and student qualifications for
an internship for academic credit*.
*International Student Yes
No
©Copyright 2019 UCF College of Business Form: Student Internship Contract
Rev. 10/21/19
(ex:mm/dd/yyyy)
EMPLOYER INTERNSHIP AGREEMENT
©Copyright 2019 UCF College of Business Form: Internship Employer Agreement
Rev. 7/3/19
*Please initial each line, agreeing to each statement. Then, fill the bottom portion. *
___ I agree to provide the Internship Student _____ hours of employment over the course of the
semester.
___ I agree to provide a professional experience over the course of the semester (clerical work
and other various menial tasks will be no more than 20% of the total job responsibilities.)
___ I will provide a meaningful work experience, which will supplement and enhance the
concepts expressed in academic sources.
___ I will offer the student an opportunity to assess his/her abilities and interest in the
organization and the role.
___ If there are any problems or concerns with the intern, or termination is being considered, I
will contact the Internship Coordinator immediately.
___ This internship experience will provide inside exposure to the structure, operations, and
decision-process within our organization.
___ I agree to provide the university with a performance appraisal of the student at the end of
the semester.
“An Employer will not look to UCF for any costs associated with a student position or the
Employer’s participation in UCF programs. This includes any expenses associated with a
workplace injury, claims against the Employer due to the actions of the student, or with regard to
any claims, actions or damages arising out of the conduct of Employer or Employer’s agents,
employees, or representatives.”
I hereby agree to the above terms.
Intern Student Name: ________________________________________________
Organization: _______________________________________________________
Supervisor Name (printed): ___________________________________________
Supervisor Signature: ________________________________________________
Phone: ___________________________
Email: _____________________________________________________________
Please return to the student intern, to submit via email to the Internship Coordinator, sylecia.groover@ucf.edu.
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Form 2022: Internship Qualification Form (University of Central Florida)

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Completed 4 January 2022

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