GVSU Career Center - Grand Valley State University

Supervisor Internship Agreement Form

All required fields are marked as *.

Student Information

Name:

Email:

Phone:

Address:

City:

State:

Zip:

Major or Minor:

Class Standing:

Class Credits:

Start Date:

End Date:

Advisor:

Courses Completed in Major/Minor:

Position Name/Title

Compensation:

Hours Per Week:

Internship Format:

Internship Description:

Organization/Company Information

Please Note:
The information listed below may not be the exact location where the student is working. It should be a location that the GVSU Career Center can use to get in contact with your company via mail or telephone. A head office would be much better than your specific department phone or location.

Supervisor: *

Supervisor Email: *

Organization/Company Name: *

Country: *

Address: *

Line 2:

City: *

State/Province: *

Postal Code: * xxxxx

Phone: * xxx-xxx-xxxx

Website: http://www.company.com

Fax: xxx-xxx-xxxx

Agree and Submit

I am in agreement with the described responsibilities and learning objectives. I understand I am to return a completed evaluation and any other required paperwork to the intern's academic department at the completion of this internship.

I am not in agreement with the described responsibilities and learning objectives.

Additional comments or changes that need to be made:

Report a problem with this page

GVSU Internship Management System

Supervisor Internship Agreement Form