Internship Form for Public History Majors
History 496
REMEMBER:
You must register in advance for internship credits
To be completed before the end of the semester prior to starting the internship and signed by the Public History Program Director. The student will retain the form and complete it at the end of his/her internship and turn copies in to his/her faculty advisor and the Public History Program Director.
Number of internship credits registered for: ________
9 credit hours of internship are required to graduate. Each credit requires 48 hours worked, including time spent filling out journals and writing activity summaries.
Dates of Internship: ___________________________
Intern’s name, permanent address, contact information and NAID#:
Name of and address of internship site:
Internship supervisor’s name, title, address and contact information:
Scope of internship (anticipated activities and projects, schedule, responsibilities, etc.): [please attach additional pages if needed].
_________________________________________ _____________________
(Student’s signature) (Date)
_________________________________________ _____________________
(Public History Program Director’s signature) (Date)
To be filled out within two weeks of completion of internship:
The student must maintain a daily journal of his/her internship activities, projects, and responsibilities. This must be turned in to the Public History Program Director who should initial and date to signify completion. __________
The student must produce a 4-6 page double-spaced, typed summary of activities and projects completed, responsibilities, and skills learned during his/her internship. This must be turned in to the Public History Program Director who should initial and date to signify completion. __________
_________________________________________________
(Public History Program Director’s signature for completion of ____ credits of internship)
Date: ______________________
(Original to student and copies to faculty advisor and Public History Program Director)
04/02/2004
