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InternshipandExperientialLearningInformationSheet

RichardsCollegeofBusiness



Yourinternshipapplicationpacketshouldincludethisform,alongwithaletterofofferandan official job description,both on officialletterhead 

andsignedbyanofficialoftheorganization,aswellastheuniversity’sDirectedReadings,IndependentStudy,Internship,VariableCreditApproval

Form.(Seepage2forcomplete guidelines and requirements. Contact your academic advisor if you have any questions.)

_______________________ _______________________ _______________ 917____________________

(Lastname)  (Firstname)  (Middle)  UWGStudentID



________________________________________ _______________________________________

(UWGEmailAddress)(Phone)____Mobile____Home____Work



_________________________________________________ ______________________________________



Major    Minor   GPA  Classification:Fr,So,Jr,Sr,Gr



_____________________________________________________________________ _____________________

PermanentAddress:StreetCity   State Zip



_____________________________________________________________________ _____________________

UWG/MailingAddress:StreetCity   State Zip



Pleasecheckone:Internship:___ Co‐op:___ IfCo‐op:____Alternating____Parallel



OtherLearningOpportunity:___Pleasespecify:______________________________________________________



SemesterandYear:______________ Hoursperweek:____ Compensation/Salary:___________

(Pleasenote:Unpaidinternshipswithfor‐profitorganizationsmustmeettherequirementspublishedbytheU.S.DOLinFactSheet#71.Seeyour

departmentchairortheassistantdeanformoreinformation.)



________________________________________ _________________________________________________



EmployingOrganizationNameEmployingOrganizationAddress



_________________________________ _________________________________ ________________

EmployingOrganizationContactName  ContactEmailAddressContactPhone



U.S.Citizen:___Yes___NoIfno,doyouhaveaF‐1Visa?__Yes___NoIfyes,doyouhaveaworkpermit?___Yes___

Releas

eStatement

IherebyauthorizeUWGandtheRichardsCollegeofBusinesstorelease,onmybehalf,suchinformationcontainedinmyeducationrecordsasis

necessarytoaidemployersindeterminingmypotentialforemploymentasanintern(i.e.,transcript,resume,application,references,etc.)I

understandthatthisinformationwillbedisclosedtothosepersonswithintheemployingorganizationwhohavebeendeterminedbythat

organizationtohaveaneedtoknow.Ifacceptedforaco‐opposition,Iunderstandthattranscriptinformationmaybemadeavailableonaregular

basistomyco‐opemployer.IunderstandthatthisinformationisreleasedpursuanttoSection438(b)4(B)oftheFamilyandEducationRightsand

PrivacyActof1974andwillnotbereleasetoanyotherpartwithoutmyexpressconsent.



_____________________________________ ________________________________________ _______________________________

(PrintedName)(Signature)(Date)



click to sign

signature

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WHATISANINTERNSHIP?



“Aninternshipisaformofexperientiallearningthatintegratesknowledgeandtheorylearnedintheclassroomwith

practicalapplication andskillsdevelopmentinaprofessionalsetting.Internshipsgivestudentstheopportunitytogain

valuableappliedexperienceandmakeconnectionsinprofessionalfieldstheyareconsideringforcareerpaths;andgive

employerstheopportunitytoguideandevaluatetalent.”(NationalAssociationofCollegesandEmployers(NACE).



NACEfurtherstatesthat“aninternshipisalegitimatelearningexperiencebenefittingthestudentandnotsimplyan

operationalworkexperiencethatjusthappenstobeconductedbyastudent.”

InternshipsforstudentsintheRichardsCollegeofBusinessatUWGmaybeawardedacademiccredituponreviewand

approvalbytheappropriatedepartmentchairandthedean/dean’s designee.Thebasicrequirementsandprocedures

forapplicationtothedepartmentarelistedbelow.



ACADEMICREQUIREMENTS

Fullmajorstatusandatleasta2.5GPAisrequired.Thestudentwillworkwithaprofessortodeterminetheacademic

requirementsoftheinternship.Ataminimumtheserequirementswillincludethefollowing:(1)ajournalofactivities;

(2)aresearchpaperorproject;and(3)anevaluationfromthesupe

rvisor.

STUDENTRESPONSIBILITIESandINSTRUCTIONSforObtainingAcademicCreditforanInternship

1. Printandcompletethefollowingform:RichardsCollegeInternshipandExperientialLearningInformationForm.

2. Obtainaletterandanofficialjobdescriptionfromtheemployer,describingandverifyingtheinternship

employmentandsignedbyarepresentativeoftheemployer;(Internshipcreditwillnotnormallybegivenfora

positionwhereastudentiscurrentlyemployedandisnotgaininganynewknowledge,skillsorabili

ties.)

3. Submittheform,theemployerletterandofficialjobdescriptiontothedepartmentchairpersonofyourmajor

forreviewandapproval;

4. Followingapprovalbythechair,thestudentwillidentifyafacultysponsortodirecttheinternshipandwhowill

specifytheacademicdeliverablesforsuccessfulcompletion;

5. Thefa

cultysponsorwillcompletetheInternshipCreditForm(UWGIndependentStudy,DirectedReadings,

InternshipandVariableCreditForm),whichwillbeincludedintheapplicationpacket.

6. Thestudentshouldsubmitallrequiredapplicationformsandmaterialstothedepartmentchairforfinal

approvalandsignature.*

7. Afterapprovalbythedepartmentchair,thecompletepacketofinformationshouldbesubmittedto

theRichardsCollegeDean /Designeeforreviewandfinalapproval(MillerHall,Room1208);

8. Thefinalstepissubm

ittingthecre ditapprovalform(signedbytheAssistantDean)totheRegistrar'sOfficeto

drop/addatthebeginningofthesemester.

SpecialNote:Allinternshipswithfor‐profitentitieswilltypicallybepaidinternships,pursuanttoU.S.

DepartmentofLaborguidelinespublishedinFactSheet#71:InternshipProgramsUndertheFairLabor

StandardsAct.

*Forstudentsdesiringtointernwithafor‐profitorganizationataratebelowminimumwage(includingunpaid)the

followingthreeformsmustalsobecompletedandincludedintheapplicationpacket.

StudentVerificationFormforUnpaidInternshipswithFor‐ProfitOrganizations

EmployerVerificationFormforUnpaidInternshipwithFor‐ProfitOrganizations 

FacultyVerificationFor

mforUnpaidInternshipwithFor‐ProfitOrganizations



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Completed 28 November 2019

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