EASTERN MICHIGAN UNIVERSITY
POLITICAL SCIENCE DEPARTMENT
INTERNSHIP PROGRAM
Letter of Agreement
Semester/year:
STUDENT INFORMATION
Name: Student #:
Mailing Address:
Email: Phone:
Major: Minor:
Internship course registration number:
387 480 486 488 489 688
PLACEMENT ORGANIZATION
Note to Placement Supervisor: Each intern is expected to develop a goals and objectives statement by
the third week of the semester and to obtain your signature on that document. This is designed to help
assure that the student’s expectations and your expectations are in harmony.
Supervisor's name:
Agency/organization name:
Organization website:
Mailing address:
Email address:
Agency phone:
Expected start date: Expected end date:
Number of hours per week:
Student signature:__________________________________________ Date:
Supervisor signature:________________________________________ Date: