Harmon College Internship Application
Revised November 6, 2018
STEP 1 Student Portion:
Name:
Ward Edwards 1600 University of Central Missouri
Warrensburg, MO 64093
Phone: 660-543-8432
700#:
Degree: Phone number:
Company where you are interning:
Address/city/state/zip:
Have you worked here before, or currently working there? If yes, how long?
Will a family member be supervising you? If yes, who?
Student Application Checklistplease check off each and sign below:
I have communicated with my advisor and have confirmed that I would like to be enrolled in
credit hours under the prefix of (ex. MGT, ACCT, etc.) during the
semester (term and year, ex. Fall 2019). Please apply towards credit.
Based on the credit hours requested above matched with the chart below, I need to work a
minimum of work hours as a requirement for passing the course.
Work hour requirements:
1 credit hour 70 work hours
4 credit hours 260 work hours
7 credit hours 420 work hours
2 credit hours 140 work hours
5 credit hours 325 work hours
8 credit hours 480 work hours
3 credit hours 210 work hours
6 credit hours 390 work hours
9 credit hours 540 work hours
I understand that all of my work hours need to be completed at the same employer during the
term/semester I am enrolled for credit.
I have a job description directly and evidently from the company that I will turn in with this
application. I understand that the Harmon College Internship Office (HCIO) is looking to see
that this position will be relevant to my degree, challenging at a collegiate level and that it is a
paid position.
In addition to my application and job description, I understand my degree audit will be
reviewed to ensure I meet the pre-requisites listed under the HCIO portion on page 2.
I understand that the deadline to be enrolled in the internship course is two weeks after the
first day of the full-term semester.
Once enrolled in the course, I will check my UCM e-mail and Blackboard in order to meet all the
requirements of the course, including assignments.
I agree to conduct myself in a professional manner, complete assigned tasks and adhere to all
personnel rules to the satisfaction of my supervisor.
I understand that I am a student first. My internship will not interfere with my class schedule or
my academic success.
Student Signature: Date:
Next step, have your supervisor complete the Supervisor Portion.
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Harmon College Internship Application
Revised November 6, 2018
STEP 2 Employer Portion:
Supervisor name:
E-mail: Phone:
Supervisor Checklist please check off each and sign below
I am aware of how many work hours the student must complete and verify that it will be
possible for the student to achieve, barring any extraneous circumstances.
I understand the intern/student is receiving course credit and as a supervisor I will be asked to
be involved with:
Goal setting/reviewing for the internship period
A mid-point check in by HCIO
Completing an evaluation regarding the student’s performance
Approving/signing student’s work hour log
Internship start date:
Internship end date:
Supervisor Signature: Date:
Please check this box if you would like an e-mail of the final copy of this application.
Next step, keep a copy for your records and return to HCIO for approval and enrollment.
STEP 3 Harmon College Internship Office Portion:
Enrollment Checklist please check off each and sign below:
Job description is relevant, challenging and a paid position.
Supervisor confirms opportunity for work hour requirement to be met.
Undergraduate Student:
Student has at least 60 credit hours completed.
Student is officially admitted to the BSBA (applicable to all but CDM, HRA and AVIA).
Student has a minimum cumulative GPA following these guidelines: 2.65
Accounting majors; 2.25 Aviation majors; 2.4 Finance majors; 2.5 all other majors.
Graduate Student: Program Advisor approval has been given.
Student has been enrolled in the following course:
HCIO Signature: Date:
Program Advisor Signature (for graduate level only):
Comments:
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