Fill - Free fillable Internship Packet2015 Fillable (Jacksonville University) PDF form

CAREER DEVELOPMENT CENTER

ACADEMIC INTERNSHIP PROCESS

Third floor Davis Student Commons, careers@ju.edu, www.ju.edu/careerdevelopment, 904-256-7054

Eligibility:

Assuming student is eligible for internship according to University and Experiential Learning standards.

Academic Standards- A student applying for an internship must:

o Have junior-senior standing or departmental

approval

o GPA: Varies with major. Please check with Advisor

o Completed internship hours <12

Students who are enrolled in an academic area requiring an internship (Kinesiology, Nursing, Education, or Communication)

should follow the guidelines for their academic program. All other students seeking credit for internships should follow the

steps outlined here.

Step 1: Find an internship

There are several ways to find an internship at JU:

 Talk to a career advisor or faculty advisor

 Attend the internship 101 and 102 workshop series

 Talk to past interns at a Fall Industry Networking Night

 Learn more about approved internship partners at the Annual Spring Career Expo

 Apply to over 200 approved internship opportunities on PHIN Connect

 Create your own!

Students are encouraged to consult with their faculty advisor and a career advisor before engaging in an internship search.

Suggested application deadlines: Summer – Mid-January; Fall – Early June; Spring- End of November.

Applying to an internship does not mean you have “secured” the internship. Make sure to ask your sponsor for an email

confirming your start date and work hours.

Step 2: Gain Approval

Credit bearing internships must adhere to the academic internship sponsor policy. Approved internship sites are listed in the

PHIN Connect recruiting portal under “applications.” Check here to see if your internship site is an approved provider. If it

is, record the job ID on your learning contract. If it is not listed, ask your sponsor to complete an sponsor internship

application found here, https://ju-csm.symplicity.com/employers. Allow 2 weeks for the approval process. Completion of this

form does not guarantee your site will be approved.

Step 3: Register and notify your faculty sponsor

In accordance with the academic calendar and registrar’s guidelines, credit bearing internships must be registered by the

add/drop date for the semester when your internship takes place. All documents included in this packet must be signed and

on file in the registrar’s office before beginning your work as an intern. Internship paperwork includes:

 Documentation on your internship site – attach a job description from PHIN Connect

 Learning contract completed in consultation with your faculty sponsor and internship supervisor

 Liability agreement

Internship paperwork can be found here:

http://www.ju.edu/CareerDevelopmentCenter/Internship%20Resource%20Center/Forms/AllItems.aspx

Step 4: On-site Participation begins and requirements completed for your grade

Credit is earned in the semester that the internship takes place. Your faculty sponsor will determine how you will be graded

by indicating the evaluation plan in the learning contract. Mid-term and final evaluations are required for the internship

program, as are learning objectives related to communication, critical thinking, diversity, and teamwork skills.

(For academic credit you must be registered prior to the internship)

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45 hours of internship are required to receive 1 credit hour

Jacksonville University Academic Internship Program

Learning Contract

STUDENT NAME___________________________________ STUDENT ID#______________ MAJOR _____________________

INTERNSHIP CREDIT HOURS ____________ COURSE#____________ FACULTY SUPERVISOR________________________

SPONSOR SUPERVISOR _____________________________________ TITLE_____________________________________________

SPONSOR ORGANIZATION______________________________ INTERNSHIP TITLE______________________________________

DURATION OF INTERNSHIP RESPONSIBILITIES

From:_____________________

(date)

To:________________________

(date)

APPROXIMATE INTERNSHIP HOURS/WEEK

_____________________________________

LEARNING OUTCOMES: With your sponsor and faculty advisor, please attach internship objectives or responsibilities for

organization or from Phin Connect. For additional guidance, please consult the online internship resource center.

If your internship is not on PHIN Connect, please have your site register and complete an sponsor application found here:

https://ju-csm.symplicity.com/employers Your sponsor must complete the application prior to completing this form.

FACULTY INFORMATION: INTERNSHIP EVALUATION

The Faculty Supervisor will determine the final grade based on the following factors: (to be filled out by Faculty Supervisor prior to

obtaining signatures)

________% Written Report

________% Oral Report

________% Sponsor Evaluation

________% Other (please specify)

Student’s Signature ______________________________________________________

Date

__________________________________

Sponsor Supervisor’s Signature

_____________________________________________

Date __________________________________

Faculty Supervisor’s Signature _______________________________________________ Date __________________________________

Division Chair Signature ____________________________________________________ Date __________________________________

Dean's Signature ___________________________________________________________ Date _________________________________

Is this internship posted on PHIN Connect?

Yes or No?

Please include JOB ID here:

Students: To register for your internship, this form must be completed and signed by all parties before the

last last day of the Add/Drop period.

COMMITMENT OF THE THREE PARTIES: By signing this document, the student, institution, and

internship site agree to abide by the information stated below. The student is responsible for informing the

Career Development Center (CDC) of any changes to the information stated.

TERM: FALL __________ SPRING __________ SUMMER __________ TOTAL CREDITS COMPLETED: __________________

STUDENT INFORMATION

PLEASE ATTACH A COPY OF THE INTERNSHIP

DESCRIPTION FROM PHIN CONNECT

SPONSOR EMAIL _______________________________________ SPONSOR PHONE# ______________________________________

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[xxx390 xxx490, ex. ART-490]

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LIABILITY RELEASE AND HOLD HARMLESS AGREEMENT

FOR INTERNSHIP ACTIVITIES

THIS

RELEASE executed by _______________________________________________________whose address is

_____________

_______________________________________________________________________________

Student ID Number is:_______________________to Jackson

ville Un

iversity, their officers, employees and

agents (“RELEASEES”).

I understand and agree to participate in the following

program (description of program including name and

address of off campus facility site)

_____________________________________________________________________________________________

_____________

________________________________________________________________________________

_____________

________________________________________________________________________________

and I fully understand and appreciate the dangers, hazards and risks inherent in participating in the above described

program, including the transportation to and from the program premises; and in any independent activities I

undertake as a participant in the program (collectively referred to as “Program”) which may include property

damage, personal injury or death. I accept any and all risks, associated with my participation in the Program.

Knowi

ng the dangers, hazards and risks of the Program, and in consideration of being admitted to the University and

enrolled in the university on behalf of myself, my family, heirs, executors, administrators and assigns, I the

undersigned, release, waive, forever, discharge the Releasees from and against any and all liability for any harm,

injury, damage, claims of demands which may accrue to me arising from or related to my participation in the

Program. I agree that under no circumstances will I or any claiming on my behalf, prosecute or present any claim

for personal injury, property damage or wrongful death against any or all the Releasees. IT IS MY INTENTION

BY THIS RELEASE TO RELIEVE THE RELEASEE(S) OF ANY LIABILITY FOR PERSONAL INJURY

PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY THE RELEASEE(S)’ NEGLIGENCE OR

OTHERWISE.

It is

my expressed intent that this Agreement shall bind members of my family and spouse, if I am alive, and my

estate, family, heirs, personal representatives, or assigns, if I am deceased, and shall be deemed as a release, waiver,

discharge and covenant not to sue RELEASES. I further agree to save and hold harmless indemnify and defend

releases from any claim by me or my family, arising out of my participation in this Program.

In sig

ning this release, I acknowledge and represent that I have fully informed myself of the content of this

Agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed. I

further state that I am at least 18 years of age and fully competent to sign this Agreement; and that I execute this

release for full adequate and complete consideration fully intending to be bound hereby.

I further agree that this Release shall be construed in accordance with the laws of State of Florida.

THIS I

S A RELEASE OF LEGAL RIGHTS, READ AND BE CERTAIN YOU UNDERSTAND IT BEFORE

SIGNING.

Student/

Participant: Witnesses:

_____________

_________________________________ ___________________________________________

Print Name Date Signature Date

______________________________________________ ___________________________________________

Signature Date Signature Date

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