Internship Proposal: SOCI 4950
Student name
Fill in by hand or download,
type in responses, and print
for signature.
Student ID#_______________
Faculty mentor
Date of visit to career
services (attach resume)
Semester activity proposed Fall  Spring Summer  Year 20__
Proposed Internship site Agency:___________________ Address: _____________________
Name and Contact info of Name:____________________ Position: __________________
proposed site supervisor Email: ___________________ Phone: ___________________
Proposed schedule Start date: _______ End date:_______ Weekly schedule: ____________
Provide as complete a job
description as possible.
What will you be doing?
Provide a brief
explanation of how this
internship relates to your
formal sociology
curriculum
List three ways this
internship will assist you in
your career development
and professional goals
List three goals you will
have, besides meeting the
course requirements, in
completing this internship
By signing below, you acknowledge that you have read and understand both the Guidelines and Policies
Governing Internships and the SOCI 4950 Course Syllabus and agree to the terms set forth in those
documents, including due dates, assignments, maintaining communication, submitting information,
attendance and punctuality, and reporting problems as they arise.
_______________________ _________________________
_____________________
______
Signature of Student
Signature of department head
date
Signature of proposed faculty mentor
This completed form is due by November 20 for the spring and May 30 for fall.
Copies of the form should be kept by student and faculty and a copy given to the dept. head.