Student Internship Learning Contract April 2015
STUDENT INTERNSHIP CHECKLIST:
Submit the original contract to Office of Career Services by the deadline. Provide a copy to your on-site supervisor as well.
Ensure your health care coverage is current and up-to-date
Be sure your internship supervisor completes mid-term and final evaluations and submits them to Office of Career Services
Complete a time sheet and submit to Office of Career Services at the completion of the internship
Complete academic assignment for your faculty supervisor
Complete the internship self-evaluation form and submit to Office of Career Services at the completion of the internship
ON-SITE INTERNSHIP SUPERVISOR RESPONSIBILITIES:
Verify that the position and duties meet RMC internship criteria.
Comply with all federal and state laws regarding nondiscrimination and sexual harassment.
Confirm proposed Learning Outcomes are reasonable expectations for the internship and provide a complete job
description to the student and Office of Career Services.
Provide the student with supervision, training, and the resources necessary to perform assigned tasks.
Provide written evaluation of student at mid-term and upon completion of the internship. The evaluations will be
sent electronically to the employer by the Office of Career Services.
Immediately notify the RMC faculty internship supervisor and/or Director of Career Services should any problems
arise or early termination of the internship become necessary.
Comply with the RMC Student Employment/Internship Insurance Guidelines, found at http://rocky.edu/student-
life/career-services/internships/
___________________________________ _______________________________ ___________
Supervisor’s signature Printed Name Date
FACULTY INTERNSHIP SUPERVISOR RESPONSIBILITIES:
Approve the number of credits, work hours, length of internship and proposed learning outcomes and related tasks
and responsibilities of the internship.
Keep in contact with student throughout internship to offer guidance and support.
Assign the student an academic assignment in conjunction with the internship.
Submit student’s grade based on successful completion of an academic assignment, required hours and the intern’s
performance as evaluated by the internship on-site supervisor.
Academic Assignment:__________________________________________________ Due Date:____________________
___________________________________ _ ______ ______ ___________
Faculty Supervisor’s signature Printed Name Date
RMC OFFICE OF CAREER SERVICES RESPONSIBILITIES:
Maintain all appropriate internship records, forms and evaluations.
Facilitate communication with student, employer and faculty throughout internship. Conduct internship site visits
when appropriate and allowable by intern work schedule and location.
Distribute and collect evaluation forms twice during the semester. The forms are to be completed by
the on-site supervisor at mid-term and upon completion of internship and by the student upon completion of the
internship.
Distribute a copy of the internship contract to the Office of Student Records for course registration and
copies of all evaluations to the faculty supervisor.
Forms received by Office of Career Services: ____________________ ____________________
Initials Date
(For student's own use to track completion of internship requirements.)
