Independently Arranged Internship

STUDENT NAME:   

PERSON OFFERING THE INTERNSHIP:

NAME:    TITLE:   
email   
PHONE:    FAX:   
NAME OF FIRM/AGENCY:   
STREET ADDRESS:   
CITY:    STATE:    ZIP:   

SUPERVISOR WHO WILL EVALUATE THE INTERN'S PERFORMANCE:

NAME:    TITLE:   
email   
PHONE:    FAX:   
DESCRIPTION OF THE ACTIVITIES, STRUCTURE, SIZE, ETC. OF YOUR FIRM OR ACENCY. (PLEASE INCLUDE SPECIFIC CAREER FIELDS.)
WHAT WILL THE INTERN DO? WHAT RESPONIBILITIES WILL THE INTERN ASSUME?

Please Note

Your intern is required to complete a minimum of 100 hours. If at any time you have questions, please contact Ashley Strausser.