Fillable MT. SAN JACINTO COLLEGE (Mt. San Jacinto Community College District)

Fill Online, Printable, Fillable, Blank MT. SAN JACINTO COLLEGE (Mt. San Jacinto Community College District) Form

Use Fill to complete blank online MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

MT. SAN JACINTO COLLEGE (Mt. San Jacinto Community College District)

On average this form takes 61 minutes to complete

The MT. SAN JACINTO COLLEGE (Mt. San Jacinto Community College District) form is 18 pages long and contains:

  • 8 signatures
  • 14 check-boxes
  • 205 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Mt. San Jacinto Community College District

BROWSE MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
MT. SAN JACINTO COLLEGE
READYREADY
get
TO HOST A MT. SAN JACINTO COLLEGE STUDENT INTERN
Cooperative Work Experience Education
(CWEE)
Employer Handbook
The Cooperative Work Experience Education (CWEE) program helps students achieve their educational and
career goals through internships. This is a unique experience for students because it provides an opportunity to
combine classroom education with mentored work experience.
Benefits for Employers:
• Create and maintain a relationship with Mt. San Jacinto College
• Close the gap between classroom experience and job skills by providing real work experience
• Select from a pool of advanced students to assist in current projects and assignments
• Cost-effective program for recruiting potential hires and reducing turnover
• Gives the business a chance to ensure today's student will become tomorrow's employee
• Opportunity to provide feedback to faculty on necessary skills for the industry to update curriculum
Employer Requirements for Getting Started:
STEP 1: Identify any needs, special projects, and/or challenges that interns could be assigned.
STEP 2: Submit the Off-Campus Internship Request Form to identify your needs and the desired
qualifications you would like in a candidate.
STEP 3: Complete the mandatory District Affiliation Agreement and submit your Certificate of
Insurance to the Business Services department.
o The CWEE department is unable to move forward until this is complete.
STEP 4: Create an employer account on Eagle Career Connection (www.msjc.edu/careerconnection) and
start uploading internship and job announcements.
STEP 5: Interview potential candidates and notify the CWEE office of candidate that is selected.
STEP 6: Meet with the student to review the CWEE Application and CWEE Training Plan and
develop three learning objectives that students should accomplish during the internship.
STEP 7: Supervise student during internship and sign student’s Monthly Timesheets.
STEP 8: Meet with Faculty Advisor at least once during the semester at your place of business.
STEP 9: Complete the Employer Evaluation of Student and review with the student before submitting
to Faculty Advisor.
Please contact the CWEE Office at 951-639-5352 with any questions
Frequently Asked Questions for Employers
Q:
How do I get started?
A:
To get started, complete the Off-Campus Internship Request Form. Then, please email, fax or mail the completed
form to
the Cooperative Work Experience Education (CWEE) Program office.
Q:
Is it possible to not release our company’s contact information to students?
A:
Yes. If your company prefers, the CWEE office can collect student resumes and then forward pre-screened
applicants to your office for scheduling of interviews. This will limit the number of students that are aware
of your opportunity.
Q:
How are students for the internship selected?
A:
After receiving the all of the necessary documents, the CWEE Coordinator will inform faculty from your company’s
industry who will notify interested, well-prepared students about the opportunity. Those students
will then either
send their resume directly to you or if you prefer, the CWEE office can forward student
resumes. Next, you can
interview the interested candidates and select the student that best fits your
needs. Please notify the CWEE office
once your organization selects a student intern.
Q:
Do I need to notify MSJC of the candidate that has been selected?
A:
Yes. The student who has been selected will need to participate in an orientation in order to enroll in the
internship
course for credit. The student is also required to complete registration paperwork. If the student does not enroll for
credit, they are not covered by MSJC’s workmen’s compensation insurance policy and are not affiliated with
MSJC’s CWEE program.
Q:
What date does the internship program start? What date does the internship program end?
A:
The internship program begins on the first day of the semester (Fall, Spring, Summer). The internship ends on the
last day of the
semester (see MSJC’s academic calendar). Students are not allowed to start interning until the
semester begins and they registered for the internship course.
Q:
Do I have to add the student to my company’s workmen’s compensation insurance plan?
A: No. Since the student is enrolling in an internship course, MSJC is able to cover the student under the
district’s
workmen’s compensation insurance. If you need a copy of the plan for your records, please
contact the Business
Services office at (951) 487-3013.
Q:
What are the average hours per week a student must work to earn credit?
A:
The number of hours will depend on the number of units the student is enrolling in for the internship
course and if
the internship is paid or unpaid. Refer to the chart below for the required number of hours
that must be worked in
the semester.
UNITS
UNPAID
PAID
1
60-119
75-149
2
120-179
150-224
3
180-239
225-299
4
240+
300+
Q:
What are the employer’s responsibilities?
A:
The employer is expected to supervise and provide recommendations on how students can improve
technical and
soft skills. At least once in the semester, the faculty advisor for the internship course will
need to visit the site to
meet with the site supervisor. The site supervisor will need to sign the student’s
timesheets at the end of each
month. Additionally, the site supervisor is asked to complete an
evaluation of the student’s performance at the end
of the internship and then review it with the student.
Cooperative Work Experience Education (CWEE)-Occupational
Internship Program--- Off-Campus Internship Request Form
Name of Company:
Internship Position Title:
Internship Supervisor:
Address:
Phone:
Email:
# of interns requested:
Semester requested (Fall, Spring, Summer):
Paid or Unpaid
Hours per week:
Is your company open to any of the following student request (please circle):
Informational Interviews: Yes or No
Job Shadow: Yes or No
Internship Description:
Learning Objectives:
•
•
•
Ideally, each learning objective should be able
to answer the following four questions:
1.
What do you want to learn? (What is the task to be accomplished?)
2.
How will you learn it? (How will it be accomplished?)
3.
How will the results be measured? (How will it be evaluated and by whom?)
4.
When will it be accomplished? (By what date will it be completed?)
Remembering that the learning objective must be specific, measurable, limited to a single
definite result, and have a completion date.
Example: By the end of the semester, the student will strengthen t
heir interpersonal
communication skills by interacting with the public via phone, email, and face
-to-face. The site
supervisor will provide formative and summative assessments evaluating this objective.
Cooperative Work Experience Education (CWEE)-Occupational
Internship Program--- Off-Campus Internship Request Form
Learning Activities:
•
•
•
Experience and Qualifications (Knowledge/Skills/Abilities):
•
•
•
•
•
•
objectives.
Example: Skilled in Microsoft Excel
Major(s) desired:
Required/recommended coursework:
How to apply:
1 | Page
CWEE Affiliation Agreement
October 2018
MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
COOPERATIVE WORK EXPERIENCE EDUCATION (CWEE)
AFFILIATION AGREEMENT
COMPANY/ORGANIZATION
NAME: TELEPHONE:
ADDRESS: FAX:
CITY/STATE/ZIP CODE:
CONTACT NAME: CONTACT E-MAIL:
This Affiliation Agreement is made and entered into by and between Mt. San Jacinto Community College District
herein after referred to as the “District” and __________________________________________ herein after referred
to as the “Employer”.
The purpose of this Affiliation Agreement is to provide a working and learning opportunity for eligible students
enrolled in the Cooperative Work Experience Education Program herein after referred to as the CWEE Program.
These employment opportunities are called “occupational internships”. The occupational internships can be
paid or unpaid. The duration of the occupational internships is from the first day of the semester and to the last
day of the semester. Both parties agree to the following conditions:
1. Term. The date of this Affiliation Agreement will be _______________________ through June 30, 2020.
2. Start Date. The CW
EE student shall not start their occupational internship with the Employer until this Affiliation
Agreement has been fully approved and signed by all Parties.
3. Termination: This Agreement can be terminated by either party, without cause, by providing sixty (60) days
written notification to the other party prior.
4. Worker’s Compensation Insurance Requirements: While the student is participating in the occupational
internship – the following must be adhered to:
a. If the student is to be unpaid, the student will be covered under the District’s Worker’s Compensation
insurance.
b. If the student is to be paid, the Employer will be held responsible for providing Worker’s Compensation
insurance coverage for the student.
5. Commercial Liability Insurance Requirements. The District maintains for itself commercial general liability
insurance coverage in the minimum amounts of $1,000,000 per occurrence (combined single limit for bodily
injury and property damage); $1,000,000 for personal and advertising injury liability; $1,000,000 aggregate on
products and completed operations and $2,000,000 for general aggregate.
6. The Employer is required to provide a copy of their certificate of insurance to the District’s Business Services
Department upon execution of this Agreement.
7. Student Employment Status. If the student is to be paid for their occupational internship, the student is
considered an employee of the Employer. The Employer will adhere accordingly to all applicable local, state
and federal employment rules and regulations.
a. If a student’s employment status changes – unpaid to paid or paid to unpaid, the Employer must notify
the Dist
rict’s CWEE Coordinato
r.
8. Cooperative Work Experience Education Program (CWEE) Contact Information. If there should be any
questions pertaining to the CWEE Program or the student’s occupational internship - contact Matt Leyden,
CWEE Coordinator at (951) 639-5437 or mleyden@msjc.edu.
SAMPLE
2 | Page
CWEE Affiliation Agreement
October 2018
9. Mutual Hold Harmless and Indemnification: The District and the Contractor will mutually protect, indemnify,
and hold each other harmless from any costs, losses, claims, demands, suits, actions, payments and
judgments, or other liabilities or expenses, including legal and attorney’s fees, arising from personal or bodily
injuries, property damage or otherwise, however caused, brought or recovered against any of the above
that may arise for any reason from or during or be alleged to be caused by the errors, acts or omissions of
those involved in this Agreement.
10. Confidentiality: The District and the Employer will perform the services as outlined in this Agreement in
accordance with the privacy and confidentiality rules and regulations as mandated by federal, state, and
or local laws. The District and the Employer will not disclose any confidential information to a third party
except as required by law.
11. Non-Discrimination: The Employer will not illegally discriminate against any person because of sex, race,
disability, national origin, veteran’s status, sexual preference or religion, and agrees to comply with all
applicable federal and state laws, rules, regulations, and executive orders relating to non-discrimination,
equal employment opportunity and affirmative action.
12. Applicable Law: This Agreement will be subject to and will comply with all federal, state and local laws and
regulations applicable with respect to its performance under this Agreement.
13. Governing Law, Jurisdiction and Venue. This Agreement will be governed, construed and enforced in
accordance with the laws of the State of California. The jurisdiction will be the State of California and the
venue will be Riverside County, California.
14. Affiliation Agreement. Sign and return this Affiliation Agreement via e-mail (preferred method) to Business
Services at: businessservices@msjc.edu, or by mail to Mt. San Jacinto Community College District, Business
Services Department, 1499 N. State Street, San Jacinto, CA 92583.
15. Entire Agreement: This Agreement contains the entire Agreement between the parties and supersedes all
prior written and oral agreements with respect to the subject matter herein. Any modifications will require
mutual agreement by both parties. This Agreement may only be amended by a written amendment
approved and signed by both parties.
16. Execution of Agreement. This Agreement will not become effective or in force until all of the parties named
below have fully executed this Agreement. Only the legally authorized representative of each Party is
allowed to sign this Agreement.
Mt. San Jacinto Community College District Company/Organization:
Signature: Signature:
Printed Name: Beth Gomez Printed Name:
Title: Vice President Business Services Title:
Date: Date:
SAMPLE
FOR STAFF USE ONLY
Transcripts have been reviewed and courses required prior to enrollment are:
Completed
In-Progress
Not Completed
Verified By:
Cooperative Work Experience Application
Cooperative Work Experience Education Application for (check one):
OCCUPATIONAL INTERNSHIP GENERAL WORK EXPERIENCE
Student Information
Name: Student ID #:
Home Address:
City, State, Zip:
Home Phone: Cell Phone:
Email Address:
Employer Information
Supervisor’s Name:
Address:
City, State, Zip:
Company’s Phone: Supervisor’s Phone (optional):
Supervisor’s Email Address:
General Information
Student’s Major: Occupational Goal:
Faculty Advisor:
I plan to work hours per week. I plan to enroll in semester units.
I have previously completed units of Occupational Internship or units of General Work Experience.
The courses I have completed in my major are (List course numbers, i.e. ADS 101, 102, 103):
My internship title is: My internship is (check one): NON-PAID or PAID
My work schedule is:
My job duties include:
Student’s Signature Supervisor’s Signature
To the best of my knowlegde, all of the above information is true and correct.
click to sign
signature
click to edit
click to sign
signature
click to edit
Cooperative Work Experience Education
(CWEE) Program
TRAINING PLAN
(Not an Employment Contract)
Student Name:__________________________________________
Student ID#______________________
Date:_______________
Address:______________________________________________
City:_____________________________
Zip:________________
Phone:___________________________
Student Email:_______________________________________
@____________________
Semester Year:____________________
CWEE Course:___________________________
Section #:_________
Units:______
Occupational Goal:_______________________________________________________________________________________________
Internship begins on_______________________________, 20________ and extends through the current semester.
Job Title:_____________________________________________ Type of Work Experience:________________________________
Employing Firm:_________________________________________________________________________________________________
Address:______________________________________________ City:___________________________ Zip:______________
Phone:__________________________ Employer Email:________________________________________@____________________
Work Station Supervisor:_____________________________________ ___ Title:__________________________________________
This student would like to advance his/her knowledge and efficiency in the occupational field of his/her choice. His/her goal is to achieve
this through a balance of classroom instruction and on-the-job experiences. This plan sets forth the student’s on-the-job learning
objectives for the current semester and the conditions through which they may be achieve. As a result of successfully completing this
occupational internship, the student will be able to:
First Objective:___________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Second Objective:________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Third Objective:__________________________________________________________________________________________________
_______________________________________________________________________________________________________________
The STUDENT will: 1) maintain satisfactory grades and attendance in all related instruction and coordinating classes; 2) meet work and safety standards required by the employer; and 3) meet all requirements of the CWEE
Program.
The EMPLOYER will: 1) comply with all appropriate federal and state employment regulations; 2) assist and supervise the student in achieving his/her on-the-job learning objectives; and 3) assist the faculty advisor in the
evaluation of the student and verify the record of hours worked.
The FACULTY ADVISOR will: 1) consult periodically with the employer and the student; 2) evaluate and grade the student, in cooperation with the employer; and 3) coordinate on-campus instruction with the job training
received and assist the student to achieve his/her learning objectives.
Date______________
Date______________
Date______________
Supervisor's Signature
Student’s Signature
Faculty Advisor’s Signature
Coordinator’s Signature
Date______________
This plan may be terminated, for cause, by any person named hereon, with the understanding that due notice will be given to all interested parties
White – Faculty Advisor Yellow – Employer Pink - Student
CWEE Office
28237 La Piedra Road
Menifee, CA 92584
(951) 639-5352
Employer and Mt. San Jacinto Community College District ("District") agree to provide supervision and guidance to ensure maximum educational benefit from this work experience. District does not discriminate on the basis
of race, color, religion, national origin, ancestry, sex, age, medical condition, mental or physical disability, marital status, sexual orientation or Vietnam era veteran status in its acceptance, assignment, treatment, evaluation or
compensation of students who participate in programs sponsored or arranged by District. Employers who sign this Agreement are expected to uphold this policy in their selection of prospects for employment, education
processes or activities. District shall be considered the employer of unpaid students in the CWEE program for the limited purpose of providing worker's compensation insurance. Students paid by Employer shall be covered
under the Employer's worker's compensation and/or liability insurance as required by law.
Total number of hours to be worked_______
_______Paid _______Unpaid
Number of units to be earned _______
(see CWEE Handbook)
CWEE01
I hereby certify that the number of hours listed above is
correct and that the work assigned has been performed in a
satisfactory manner.
________________________________________________
Job Supervisor’s Signature Date
________________________________________________
Student’s Signature Date
________________________________________________
Faculty Advisor’s Signature Date
Performance Record (Timesheet)
Occupational Internship Program
Monthly Performance Record
Student’s Name
Employed By
Work Station Supervisor
Month of _______________20______
This timesheet is mandated by the State and must be turned in to the Faculty Advisor by the due date (last
day of the month).
DATE
IN
OUT
NO
HOURS
DATE
IN
OUT
NO
HOURS
1
17
2
18
3
19
4
20
5
21
6
22
7
23
8
24
9
25
10
26
11
27
12
28
13
29
14
30
15
31
16
TOTAL HOURS
DUE DATE
CWEE Office
28237 La Piedra Road
Menifee, CA 92584
(951) 672-6752
Employer’s Evaluation
OCCUPATIONAL INTERNSHIP PROGRAM
EMPLOYER’S EVALUATION OF STUDENT
*To be filled out by site supervisor and discussed with
student—signatures required
Student/Interns Name:
Company: Supervisor Name/Title:
This is an evaluation of the student as a worker in the company and as a student in the Cooperative Work Experience Program. Your evaluation will help the
college instructor assess the student’s overall class performance.
PROGRESS TOWARD OBJECTIVES:
Objective #1: Achieved Objective Limited Progress
Objective #2: Achieved Objective Limited Progress
Objective #3: Achieved Objective Limited Progress
DISCUSSION OF ACHIEVEMENT TOWARDS OBJECTIVES:
OVERALL WORK PERFORMANCE:
ATTENDANCE
Excellent Above Average Satisfactory Needs Improvement
Attends as scheduled.
PUNCTUALITY & DEPENDABILITY
Meets deadlines and is prompt.
REALTIONS WITH OTHERS
Is cooperative, courteous, and friendly to customers, associates and
supervisors. Accepts suggestions and controls his/her emotions.
ATTITUDE
Is eager to improve. Progresses on won initiative; dependable, enthusiastic,
sincere, has appropriate work habits. Uses good judgment.
ABILITY TO LEARN
Learns quickly and is eager to new ways of completing tasks. Is open to
changes and handles new tasks/challenges with ease.
QUALITY OF WORK
Strives for improvement; shows thoroughness, accuracy, and precision in
detail. Has satisfactory performance and speed.
COMMUNICATION
Adheres to professional verbal and non-verbal communication at all times.
Demonstrates sensitivity to culture and diversity.
COMMENTS:
Supervisor Signature
Date
Student Signature Date
TOTAL NUMBER OF HOURS STUDENT WORKED AT SITE:
READYREADY
MT. SAN JACINTO COLLEGE
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

MT. SAN JACINTO COLLEGE (Mt. San Jacinto Community College District)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document