Original to Graduate Programs Office Fall 2016
Photocopies to Graduate Student Intern and Site Supervisor
______Fall ______Spring ______Summer, 20______
______________________________ will accept ________________________________
as an
Employer Graduate Student
employee under the supervision of _______________________________ for the purpose of gaining
Supervisor
knowledge and experience as __________________________________.
Job Title
The following are the jobs/responsibilities to be performed:
1. _________________________________________________________________________
___________________________________________________________________________
2. __________________________________________________________________________
___________________________________________________________________________
3. __________________________________________________________________________
___________________________________________________________________________
4. __________________________________________________________________________
___________________________________________________________________________
5. __________________________________________________________________________
___________________________________________________________________________
6. __________________________________________________________________________
___________________________________________________________________________
7. __________________________________________________________________________
___________________________________________________________________________
8. __________________________________________________________________________
___________________________________________________________________________
9. __________________________________________________________________________
___________________________________________________________________________
10. _________________________________________________________________________
___________________________________________________________________________
Attach this completed form to the Graduate Program Internship Training Agreement.
Internship Training Plan