Name: _________________________

Internship Basics Survey

Please answer the following:

I have read and understand the definition of an Academic Internship. I understand my role and responsibilities and those of the Faculty Internship Instructor and Work-Site Supervisor.

☐ Yes

☐ No

I have read and understand the Evaluations page of the Academic Internships Guidelines. I know that I am responsible for timely completion and submission of my evaluations.

☐ Yes

☐ No

I understand that it is my responsibility to identify a potential internship and secure the position with an approved worksite.

☐ Yes

☐ No

I understand that work-site approval requires meeting with my Faculty Internship Instructor to review my plans to complete my internship at the chosen work-site.

☐ Yes

☐ No

I understand that in order to register for the academic internship, I must complete this survey, the academic internship contact sheet, and submit a signed Academic Internship Agreement to the Career Services office.

☐ Yes

☐ No