THE SPORT MANAG
EMENT INTERNSHIP PROGRAM
INTERNSHIP REGRISTRATION FORM
Please type or print legibly. This form should be completed by the student then reviewed, approved, and
signed by the potential site supervisor prior to submission to the Sport Management Internship Coordinator.
Student Information
Last Name:
First Name:
Email:
@students.towson.edu
Phone #:
Cell?
Academic Information
Major: Sport Management
Minor: Business Administration
Overall GPA:
Major GPA:
Internship Course:
Sport Management Internship Coordinator:
Internship Site Information
Organization/Company Name:
Location:
Web Address:
Supervisor’s Name:
Title
Email:
Phone #:
Fax #:
Internship Position Title:
Start Date:
End Date:
# Weeks:
Hours/Week:
Compensation:
Unpaid
Paid -
Rate:
Please continue to second page
Select One
Select One
INTERNSHIP DESCRIPTION AND LEARNING OBJECTIVES
Based on the job description, which must be attached, state four to five learning objectives in measurable
terms that describe an accomplishment, skill, knowledge, or behavior that will result from your successful
participation in this structured work experience. Each objective should answer the following questions:
1. What is the task to be completed?
2. How will the objective be accomplished?
3. What skills and abilities are to be demonstrated
4. How will the objective be measured and evaluated?
5. When will the objective be completed?
Objectives:
1.
2.
3.
4.
5.
Other Tasks (please list):
Note In order for our students to earn internship credit, no more than 20% of the intern’s responsibilities can be
administrative or clerical in nature.
We, the undersigned, have discussed and agree with these learning objectives, and will work together to
support the completion of the learning plan’s objectives and tasks. We understand any changes must be
submitted for approval to ensure the position still meets the requirements for a credited internship.
Student Signature
Date
Site Supervisor Signature
Date
For final approval, submit two signed copies of this form to:
The Sport Management Internship Coordinator
I have reviewed and approve this internship, described on this form, to be completed for credit toward the
completion of the Sport Management program at Towson University.
SPMT Internship Coordinator Signature
Date