INTERNSHIP LEARNING AGREEMENT FORM
Department of Communication Studies
Monmouth College

_____, Internship Site Supervisor, ______, Monmouth College Student Intern, and Prof. ______, agree to fulfill the requirements for the following course:

      COMM (Or PUBR) 49 – Internship in ________ (use descriptive title & appropriate course number)

Justification:  This internship will allow _____ (student name) to  (Explain how this internship represents an important addition to your work as a major in COMM or PUBR and to your preparation for work after college.)

Learning Goals – Skills and Concepts to be Mastered: [List the learning goals (skills developed, experiences, knowledge obtained) you hope to achieve during the internship.  Try to link your goals to your coursework and your career plans.]

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Amount and Kind of Instruction:  Training and instruction will be provided by ________

Student Responsibilities During the Internship:  (Include here all anticipated projects or tasks the intern will work on AND include all expectations the organization has for this or any interns, e.g absence policy, attire expectations, confidentiality, attitude, relations with clients, etc.)

Progress Reports and materials to submit to the Faculty Sponsor:   The intern will…

•	Keep a log of experiences in the internship noting on a daily basis what activities and experiences are encountered and recording on-site hours each day worked.

•	Contact at regularly scheduled times (at least at mid-terms and finals) with the Faculty Sponsor submitting log entries at those meetings.  

•	Submit FINAL MATERIALS following the conclusion of the internship during the semester for which the student receives internship credit.  These materials shall include…

o	 “A Portfolio Internship Work” (i.e. written documents and reports, electronic products or other materials) the intern develops or assists in preparing during the course of the internship) at the end of the internship.
o	A self-evaluation of the internship reflecting on progress toward meeting internship objectives (at least 4-6 pages).
o	A one paragraph summary/abstract (in electronic form) of the internship experience for posting on the COMM web site.
o	A “Poster” submitted to the department describing the internship experience including:  Description of the internship site/supervisor, location and principal activities conducted there, Learning goals of the internship, Listing of the intern’s activities and experiences, and a Brief reflection on the value of the experience, photos.
o	A professional “press release” on the internship experience to be included with the final materials submitted.

•	Additionally, the Communication Studies Internship Performance Evaluation Form will be submitted to the Faculty Sponsor by the Site Supervisor by the end of the internship.

Evaluation Methods:  By the end of the internship the Faculty Sponsor will make an on-site visit to the internship site to meet with the Site Supervisor (and normally the intern) for an appraisal interview. (When the site is considerably removed the evaluation may take place by phone.)  The Intern may be asked to present a discussion of his/her experience to the department (faculty majors, and minors) in a public presentation  The grade (or successful completion) will be determined by the Faculty Sponsor based on the Site Supervisor Evaluations, submitted materials and personal discussions with the intern. To receive one course credit the intern is expected to complete at least 130 hours of work for the internship site.

Credit:   One course credit, Term:     Year 2016

This agreement serves as a learning contract between the Internship Site and Supervisor, the Student and the Department of Communication Studies.  The Internship Site Supervisor agrees to make a good faith effort to provide adequate opportunities to the student to achieve the learning goals listed above.  The Student agrees to make every effort to meet the student responsibilities listed above.  The Faculty Sponsor (normally the COMM internship coordinator) serves to make an academic evaluation of the student’s work on the internship, to determine if departmental requirements have been met and to mediate any problems that may arise between these three parties that relate to completion of the internship agreement.

Agreed to:   

By:  _____________________               (student)   	Date: ____             _      

And:  _______________________         (site supervisor)  	Date:  ___________  

And:  _______________________         (faculty sponsor)  	Date:  ___________

	Starting Date:  _____________    Tentative Ending Date:  _______________

N.B.:  If this form is not completed, signed and submitted within 10 days of beginning the internship credit for the internship might not be granted.  You must include all of the requested contact information below

CONTACT Information During the Internship

Student (include – Name, Address during the internship period, Phone Number)

Site Supervisor (include all contact information – Name, Title, Department, Mailing Address, Phone Number, E-mail Address, Fax Number)

COMM Internship Director:  Dr. Hayley Hawthorne, 700 East Broadway, Monmouth, IL 61462.  Ph. 309-457-2403, Fax 309-457-2310, email:  hhawthorne@monmouthcollege.edu

PUBR Internship Director:  Dr. Joshua Hawthorne, 700 East Broadway, Monmouth, IL 61462.  Ph. 309-457-2244, Fax 309-457-2310, email:  jhawthorne@monmouthcollege.edu
   
Faculty Sponsor (include name and contact information if the sponsor is different from the Internship director)