Kent State University
College of Public Health
Undergraduate Internship Manual
PH 42092- 001, Environmental Health Sciences
PH 44092-001, Allied Health
PH 44092-002, Clinical Trials Research
PH 44092-003, Community Based Public Health
PH 44092-004, Global Health
PH 44092-005, Health Promotion and Education
PH 44092-006, Health Services Administration
PH 44092-007, Pre-Medicine, Dental, Osteopathy
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Table of Contents
Role of the Internship .......................................................................................................................................................... 3
General Operating Policies ............................................................................................................................................... 3
Professionalism ............................................................................................................................................................... 4
Credit Hours ..................................................................................................................................................................... 4
Course Description ........................................................................................................................................................... 4
Pre Requisites for the Internship ...................................................................................................................................... 5
The Internship Process ......................................................................................................................................................... 6
Planning for an Internship ............................................................................................................................................... 6
Suggested Timeline for Summer Internships ................................................................................................................... 8
Performance Expectations During the Internship ............................................................................................................. 10
Other Required Deliverables ........................................................................................................................................... 10
Expectations ........................................................................................................................................................................ 12
The Role of the Internship Site ........................................................................................................................................ 12
The Role of the Site Preceptor ...................................................................................................................................... 12
The Role of the Student .................................................................................................................................................. 13
The Role of the Departmental Internship Supervisor .................................................................................................... 14
Internship Paperwork ......................................................................................................................................................... 15
Defining the Goals for my Internship Worksheet............................................................................................................ 16
College Of Public Health Internship Approval Form ....................................................................................................... 17
Controlled Course Request Form .................................................................................................................................... 19
Student Statement of Understanding ............................................................................................................................. 20
Weekly Internship Log (Sample 1) ................................................................................................................................... 21
Weekly Internship Log (Sample 2) ................................................................................................................................... 22
Weekly Internship Log 1 (Blank) ..................................................................................................................................... 23
Weekly Internship Log 2 (Blank) ..................................................................................................................................... 24
Midterm Site Assessment Of Student Performance ....................................................................................................... 25
Midterm Student Self-Assessment Of Internship............................................................................................................ 28
Site Assessment Form ..................................................................................................................................................... 31
Final Site Assessment Of Student Performance ............................................................................................................. 34
Final Student Self-Assessment Of Internship .................................................................................................................. 37
Course Syllabi ...................................................................................................................................................................... 40
PH 42092-001 Environmental Health Sciences Internship .............................................................................................. 41
PH 44092 Internship in Public Health ............................................................................................................................. 48
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Role of the Internship
Kent State University and the College of Public Health value students completing practical work in
the field to gain additional experience and connect with their major and concentration. Bachelor
of Science in Public Health (BSPH) students may have the option of completing an Internship in an
approved setting to satisfy requirements of the BSPH program. Students in the Environmental
Health Sciences, Global Health and Clinical Trials Research are required to complete an internship
to graduate with the Bachelor of Science in Public Health.
This experience provides students with an opportunity to apply public health concepts and skills in
a practical setting under the guidance of a trained professional. The supervised internship assists
students in making the transition from the university setting to the applied work setting.
Furthermore, the internship helps the students adapt more readily to the professional roles they
are about to assume upon graduation. The purpose of this manual is to clarify the procedures of
the supervised internship and to outline the specific responsibilities of the student intern, the
departmental internship supervisor, the health site/agency and the site preceptor.
General Operating Policies
1. The Internship requirement may not be waiver for students who have had professional
experience in the past.
2. The internship will generally correspond with the official calendar of Kent State
University, with students fulfilling this requirement during the officially designated fall,
spring, or summer semesters. Internships may be designed over more than one
semester with approval of the departmental internship contact.
3. The duration of the internship is variable but usually takes place during a regular 15
week semester period. Any deviations must be approved by the departmental
internship contact.
4. The internship location, assignments, and project must be approved by the
departmental internship contact.
5. All organizations must comply with the policies for the administration of the internship.
6. The internship should not be terminated by any of the parties without first consulting
the departmental internship contact.
7. Students will represent the organization, university, and profession in a professional
manner at all times. The student will practice safe work practices and follow the policies
of their internship organization at all times. Any issues should be brought to the
attention of the departmental internship contact.
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8. Work rules and policies established by the internship site, company, or other internship
sponsor for employee conduct, dress code, professionalism, ethics, safety, etc. must be
followed by the student, unless expressed approval is granted by the internship site and
the Departmental Internship Supervisor.
9. Any proprietary information, trade secrets, confidentiality requirements, photography
restrictions, etc. must be strictly adhered to by the student
Professionalism
The internship experience is an opportunity for students to gain real world hands on experience to
assist with the formation of career goals and career identity. Students who are completing
internships domestically or abroad represent both the caliber of students in the College of Public
Health and at Kent State University. The highest level of professionalism is strongly encouraged.
This not only relates to professional dress in the workplace, but also includes workplace attitude,
timeliness and behavior while interning. Students who have questions about professionalism should
speak with their departmental internship supervisor with any questions or situations that arise.
Students’ failure to maintain a professional demeanor may result in removal from the internship
site and a failing grade for the internship course.
Credit Hours
Students may complete a minimum of three or maximum of six internship hours during their time in
the College of Public Health. Students must complete 50 internship hours for each earned credit
hour. Therefore:
3 credit hours of Internship = 150 internship hours
4 credit hours of Internship = 200 internship hours
5 credit hours of Internship = 250 internship hours
6 credit hours of Internship = 300 internship hours
Students have the best opportunity for an internship experience when their hours are earned over
a 10-15 week period, this allows for the greatest breadth and depth of experiences and learning.
Students may complete an internship in a truncated amount of time with the departmental
internship coordinator’s permission.
Students in the Environmental Health Sciences concentration must complete a minimum of 4 credit
hours of internship to satisfy their program requirements.
Course Description
The Internship experience is a public health setting, industry setting or other approved setting
under the supervision of a site preceptor and university supervisor. Students gain experience in
public health work.
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Pre Requisites for the Internship
Prior to beginning the internship process, students must be academically qualified for the
internship experience. Students must:
1. Hold junior or senior standing
2. Hold a 2.5 cumulative and major GPA
3. Have completed at a minimum 50% of their core public health courses OR permission from
Departmental Internship Contact.
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The Internship Process
Each student's internship experience is developed and conducted on an individual basis. Students
may begin the internship process at multiple points; the steps below should help students navigate
the steps needed to earn academic credit for their experience.
Ideally, students should begin the internship process one semester (3-6 months) prior to the
anticipated internship.
Planning for an Internship
Steps for All Students
1. All students should first connect with their academic advisor. The Academic Advisor will be
able to help the student understand how internship credit will apply to their degree.
Students can complete internships and not earn academic credit if they are unable to fit the
hours in their degree. However, credit is encouraged as it is reflected on a student’s
transcripts and validates a student’s experience. Some programs in the College of Public
Health require an internship for graduation. Students should consult with their academic
advisor for assistance.
2. After speaking with their academic advisor students should connect with their departmental
internship contact below to begin to discuss areas of interest and connection of the
internship to their academic program. The departmental internship supervisor can help
students who are unclear about opportunities or help students with sites in mind clarify
their goals for the experience.
a. Students should work to complete the “Defining the goals for my Internship
Worksheet” prior to their meeting with their departmental internship supervisor –
This document will help you define your professional goals and what experiences you
hope to gain from the internship.
Concentration
Allied Health
Clinical Research Trials
Community Based Public
Health
Environmental Health
Global Health
Health Promotion and
Education
Health Services
Administration
Pre-Medicine
Contact
Ken Slenkovich
Dr. Mark James
Peggy Shaffer- King
Email
kslenkov@kent.edu
Mjamess22@kent.edu
Eshaffe6@kent.edu
Dr. Charles Hart
Dr. Mark James
Peggy Shaffer- King
Chart18@kent.edu
Mjamess22@kent.edu
Eshaffe6@kent.edu
Ken Slenkovich
kslenkov@kent.edu
Dr. Mark James
Mjamess22@kent.edu
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3. After speaking with their departmental internship contact students should meet with the
Career Ambassadors, housed in 126 Lowry. Students can schedule an appointment online at
www.adivsing.kent.edu or by calling (330) 672-6500. The Ambassadors can help speak with
students about resumes, cover letters, job search/internship search, discuss internship leads
and professionalism. Students should also review the “Defining the goals for my Internship
Worksheet” with the Ambassadors.
4. Students may begin searching for an internship. Students are highly encouraged to locate
internship experiences on their own, with the assistance of the departmental internship
supervisor, Career Ambassadors, faculty, staff, etc. This is part of the learning experience of
the internship; that is, learning to speak comfortably with people you do not know to
request something, skills for finding a job, etc.
a. Students are also encouraged to look at Career Services for information in internship
searches (http://www.kent.edu/career/job-internship-search).
b. Students are also encouraged to look to Kent State University job and internship
positing’s, career fairs, and community events and programs for opportunities.
c. Environmental Health students can view the Environmental Health Jobs and
Internships page at http://www.kent.edu/publichealth/environmental-health-jobsinternships.
d. Students can also look to the organizations below for opportunities:
 American Public Health Association
 National Association of County and City Health Officials
 Public Health Jobs Worldwide
 World Health Organization
 U.S. Centers for Disease Control and Prevention
 State of Ohio
 Public Health Jobs Net
 Public Health Employment Connection
 Ohio Public Health Association
 Association of Ohio Health Commissioners
5. The student should also reconnect with the Departmental Internship Supervisor to verify
that the proposed internship site has a valid Site Agreement with the College of Public
Health. If the internship site has a Site Agreement in place the student can begin the
internship as soon as the academic term begins in which the student is registered as long as
their internship is approved. If a Site Agreement is not in place, then the Departmental
Internship Supervisor must notify the Office of Public Health Practice and Partnerships
(Elizabeth Shaffer-King) who will negotiate a Site Agreement with the organization.
Students cannot begin an internship until a Site Agreement is in place. This process can
take two to six weeks; students must request approval of a new site at least two months
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before they plan to begin their internship.
6. Once a student has secured an internship he/she will need to complete the appropriate
paperwork. Students will obtain all necessary signatures – Internship Site Supervisor,
Departmental Internship Supervisor and return their paperwork to 126 Lowry to Jennifer
Miller for official processing. Students should submit their paperwork no later than two
weeks prior to the beginning of the term in which the internship is anticipated to be
completed. Failure to submit paperwork by this deadline could result in a delay in approving
the internship site and registering for the course.
a. Required Paperwork Includes:
i. College of Public Health internship Approval form
ii. College of Public Health Controlled Course Request Form
iii. College of Public Health internship Contract
iv. Student Statement of Understanding
v. Defining the goals for my Internship Worksheet
vi. A detailed job description from the company where the student will be
completing the internship. (The position description should indicate the type
of duties students will be expected to perform, roughly the percent of time
students will be spending on each type of responsibility, the approximate
number of hours the student will be working each week, and the
performance standards the student will be expected to meet in your
position.)
7. Students are then notified via email of their ability to register for the internship course. It is
the student’s responsibility to register for the course by the university deadlines and
complete all assignments to the satisfaction of the instructor. Students who fail to register
cannot be provided with retroactive credit for the course.
Suggested Timeline for Summer Internships
This example of a timeline should assist students with the steps for finding and securing an
internship.
October/November
During Required advising appointment student discusses internship
options for credit and identifies where credit can be applied for BSPH
degree.
Late November
Student meets with Departmental Internship Supervisor and Career
Ambassadors to review resume, discuss plans for internships and
interest areas.
December
Student registers with Career Services job board. Polishes resume and
cover letter.
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January-April
Student completes optional job shadow that was set up by Career
Ambassadors and identifies contacts for internship. Student searches
online for internships and connects with faculty.
May
Student successfully completes interview and is offered summer
opportunity. Student reconnects with Departmental Internship
Contact for paperwork approval and site agreement. Submits all
paperwork by the end of the semester for approval and registers for
the course.
June – August
Student completes internship and all required assignments as part of
internship requirements.
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Performance Expectations During the
Internship
The student will be required to complete the following requirements to pass the course,
additional materials many be requested be requested of the student. Students should
consult their course syllabus for additional items.

The student will maintain a daily log of work activities, to be submitted at the end of
the internship for evaluation. The log must include each day’s activities, time
worked, person they worked with, what they did, and what skills or learning they
experienced.

The student will complete and submit the midterm and final Student Self-Evaluation
Form.

The student will develop and maintain an internship portfolio. All internship
materials required will be organized into a portfolio to be submitted for evaluation
at the end of the internship by the departmental internship supervisor. The
portfolio should include the following:
o
o
o
o
Daily Log of Work activities
Midterm and Final Student evaluations
Site Assessment Form
A two to five page essay on the goals the student defined in the “Defining
The Goals For My Internship Worksheet” and how the internship experience
assisted the student with goal clarification.
o Additional concentration specific assignments may be reflected in student’s
course syllabus.
All required work must be submitted to the Departmental Internship Supervisor by 5:00 PM on the
Monday of finals week for the semester enrolled for evaluation.
Other Required Deliverables
Though not required, if reasonably possible, the Departmental Internship Supervisor will
visit the site of the internship during the student's experience or speak with the
organization by phone. The purpose of the visit is to meet with the preceptor and evaluate
the student's progress at the site. Students may be asked to participate.
The organization will be asked to complete and submit a student evaluation form on the
student’s work (midterm and final) to the Departmental Internship Supervisor as part of the
internship evaluation process.
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Based on the specific course, departmental internship supervisors may request students
complete additional assignments. Students should refer to their course syllabus for
additional information.
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Expectations
The Role of the Internship Site
1.
Designate one staff person as site preceptor. This person will be an employee (parttime, full-time, or contracted with the Site) of the Site where the internship will be
conducted.
2.
Providing opportunities for the intern to interact with stakeholders, understand services
and/or community resources as appropriate in a professional setting.
3.
Providing opportunities to practice skills and utilize equipment relevant to the role of
the intern.
4.
Providing opportunities for interns to practice skills through one or more public
health or business method(s).
5.
Providing opportunities to integrate knowledge and practice toward the development of
public health services and programs.
6.
Providing opportunities to identify with the public health profession.
7.
Providing opportunities to visit potential sites to observe additional tasks.
8.
Providing models of professional competence.
The Role of the Site Preceptor
1.
Orienting the student to the site.
2.
Making site material available to the student.
3.
Sensitizing the student to broad issues, trends, and dilemmas relevant to the organization,
so that the student may gain perspective of the macro-system in which the site operates.
4.
Planning, organizing and coordinating activities and learning experiences for the student
so that s/he will understand the total function of the internship site. (i.e. instruction on
inspections, use of equipment, use of surveys, etc)
5.
Assisting the student in development of an internship contract that specifies the projects
and/or activities the student will be responsible for during the course of the internship.
6.
Helping the student in planning, organizing, and implementing duties as specified in
internship contract.
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7.
Establishes learning situations such as interviews and staff meetings so the student can
be a participant/observer.
8.
Monitoring that the student performs meaningful tasks during the internship.
9.
Discussing policies, roles, and concerns activities in formal and informal supervisory
sessions.
10.
Completing evaluation forms on student intern performance at Week 8 and Week 15.
11.
Informing the student of steps s/he should take to improve areas of needed growth
and further develop strengths.
12.
Monitoring that the student has appropriately completed the required number of
hours during the internship experience.
13.
Maintaining communication with the University in relation to internship activities
through available means such as field supervisor meetings, email, correspondence
telephone contacts and on-site visits by the University program coordinator.
The Role of the Student
1.
Learning and observing site procedures, policies, and regulations of the site.
2.
Developing an internship contract detailing specific projects and activities for which the
student will be responsible during the internship. (See Internship Contract form).
3.
Asking for assistance and supervision when needed to assure that all projects and
assignments are appropriately completed.
4.
Informing the site preceptor when he/she will be late or absent.
5.
Completing a log (see sample Internship Log Sheet) and submitting the log every other
week to University supervisor.
6.
Completing the Student Self-Assessment form and the Site Evaluation form and return
them to the University supervisor by the end of the 14th week of the semester.
7.
It is the student’s responsibility to become familiar with the policies of the internship site.
The student may be reassigned or asked to take time out until the next semester if during
the course of the internship, the site supervisor or University supervisor determines that
the student has difficulty functioning in a particular setting.
8.
Completing an Internship project designed to make a public health contribution to the
site.
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9.
Submitting copies of the project to the site preceptor and University supervisor
10.
Complete a Final Internship Report of the Internship experience.
The Role of the Departmental Internship Supervisor
The Departmental Internship Supervisor operates as a liaison between the university and the site.
Periodic contacts between the Departmental Internship Supervisor and the site preceptor help to
maintain a focus on the student throughout the internship experience. Specific responsibilities
include:
1.
Assisting the student in identifying placement opportunities and assuring that the proposed
site is approved by the CPH Office of Public Health Practice and Partnerships (OPHPP).
2.
Approving the internship contract developed by the student and internship site.
3.
Providing opportunities for the student to discuss his/her experiences as necessary.
4.
Reviewing student logs to assure that internship is providing an appropriate
learning experience.
5.
Addressing any academic or internship issues that may develop between the student
and the internship site or preceptor.
6.
Evaluating student performance and submitting grade to university.
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Internship Paperwork
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Defining the Goals for my Internship
Worksheet
NAME:
Email:
PHONE:
Student ID #:
TRANSPORTATION AVAILABLE TO OFF-CAMPUS INTERNSHIP SITE:
yes
no
LOCAL ADDRESS:
PROFESSIONAL GOALS:
DESCRIBE THE TYPE OF INTERNSHIP EXPERIENCE YOU SEEK:
SPECIFIC INTERNSHIP SITES CONSISTENT WITH YOUR PROFESSIONAL GOALS:
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COLLEGE OF PUBLIC HEALTH INTERNSHIP
APPROVAL FORM
Complete the form and return it to 126 Lowry
Student’s Full Name ___________________________ Student ID # ________________
Local Address
Local Phone Number
Local City, State and Zip
I am applying for the: □ Spring
Email
□ Summer
□Fall
of __________ (year)
I am requesting permission to register for __________ credit hours.
(Students can receive three credit hours for 150 hours of work or six credit hours for 300 hours of work)
Please initial items 1-14 as a confirmation of your understanding of the following
requirements:
1.
_____I am a Public Health major with 18-21 hours of Public Health coursework
completed/in progress or I have obtained special permission to register for these
credits.
2.
_____I have at least a 2.5 cumulative and major GPA.
3.
_____I have obtained approval from my University Internship Supervisor and an
undergraduate advisor at least two weeks before the official registration deadline.
4.
_____I understand that my final project will be placed on file in the school office.
5.
_____I understand that I may register for up to six credit hours for my requested course.
6.
_____I understand that no more than six hours combined of PH 44092, PH 40092 and
PH 40196 may apply toward major requirements. However, additional hours may
apply toward General Electives.
7.
_____I understand that internship credit may not take the place of a required Public
Health core course.
8.
_____I understand that I will receive either a grade of “S” or “U” only for Internship.
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9.
_____I understand that I will be expected to devote a minimum of 50 hours for every
one credit hours registered for the semester. I also understand that my site
preceptor will be asked if I have completed the minimum hours required.
10.
_____I have attached a detailed job description from the company where I will be
completing my internship. (The position description should indicate the type of
duties you will be expected to perform, roughly the percent of time you will be
spending on each type of responsibility, the approximate number of hours you will
be working each week, and the performance standards you will be expected to
meet in your position.)
11.
_____I have completed and have obtained the necessary signatures on the attached
forms.
(Controlled Course Request Form and Internship Approval Form, if appropriate)
12.
_____I understand that after I have completed all appropriate forms and submitted
them to the College of Public Health for approval, I will receive an email with
instructions on the registration process, if approved.
13.
_____I have read and completed all items listed above to the best of my ability.
Supervisor’s Full Name
Address
Phone Number
City, State and Zip
Student’s Signature
Email
Date:
ATTACH THE FOLLOWING TO THIS APPLICATION:
□ Position Description and offer on Company Letterhead/e-mail address.
□ Controlled Course Request Form signed by all necessary parties.
Complete the form and return it to 126 Lowry. You will be notified when registration
authorization has been issued. IT IS YOUR RESPONSIBILITY TO REGISTER YOURSELF for the
actual course once authorization is given.
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COLLEGE OF PUBLIC HEALTH
CONTROLLED COURSE REQUEST FORM
I am applying for the: □ Spring
□ Summer
□Fall
of __________ (year)
Student’s Full Name
Student ID #
Local Address
Local Phone Number
Local City, State and Zip
Email
Concentration:
□ Allied Health
□ Clinical Trials Research
□ Global Health
□ Health Services Administration
@kent.edu
□ Community Based Public Health
□ Environmental Health Sciences
□ Health Promotion and Education
□ Pre-Medicine
Signatures:
Student_____________________________________________________ Date__________
You will be notified when registration authorization has been issued.
IT IS YOUR RESPONSIBILITY TO REGISTER YOURSELF for the course once authorization is given.
STOP – PLEASE SUBMIT FORM TO 126 Lowry for APPROVAL
Advisor
Date
University Internship Supervisor
Date
Override Given
Date
Communication Sent to Student
Date
You will be notified when registration authorization has been issued. IT IS YOUR RESPONSIBILITY TO REGISTER
YOURSELF for the course once authorization is given.
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Student Statement of Understanding
In consideration for the opportunity to participate in the internship/practicum experience, I affirm that I understand
the following responsibilities and agree to adhere to such to the best of my abilities throughout the course of the
internship/practicum experience:
1.
I agree that I will perform the duties as required by the Site under the internship/practicum in a
professional manner and will follow the reasonable requests and instruction of the Site supervisor.
2.
I agree that I shall be responsible for attending advising sessions as needed for the internship/practicum.
3.
I agree that I will complete a bi-weekly log and activity report (see enclosed form) and will submit the
originals on a bi-weekly basis to the University program coordinator, and provide copies to the site
supervisor, as needed.
4.
I agree that I will complete duties assigned and at hours scheduled at the internship/practicum site,
according to the agreement established between the student and Site representative.
5.
I agree that I am responsible for seeing that all paperwork related to the internship/practicum is completed
in a timely fashion (i.e., according to deadlines specified in the Program Handbook or as otherwise
published or provided to me) and on file.
6.
I agree that I will be certain the internship/practicum site and assigned site supervisor receive a copy of the
University calendar, and/or any other documentation provided by the University program coordinator for
this purpose, as needed.
7.
I agree that I will be certain that the Site supervisor and University program coordinator receive copies of
the completed Internship/Practicum Agreement, and any other necessary paperwork required by the
University, at least 8 weeks before the internship/practicum experience begins. I agree that I will also be
certain that the mid-semester evaluation, final evaluation, and evaluation of the internship/practicum (Site
and University) are properly completed and placed in my internship/practicum file at the University.
8.
I agree that a signed version of this statement may be provided to the Site upon request.
The signatures below indicate each person understands of the Internship/Practicum requirements. The signatures
also represent each person’s agreement to upholding his or her respective responsibilities outlined in this
Internship/Practicum Agreement form.
Student
Departmental Internship Supervisor
Signed: ________________________________
Signed: _________________________________
Printed: ________________________________
Printed: _________________________________
Date: __________________________________
Date: ___________________________________
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Weekly Internship Log (Sample 1)
Student
Site
Week Number
Hours Worked
M
T
W
R
F
Activities
1. Met with supervisor to develop recruitment strategy for smoking cessation program.
2. Conducted literature search on effective smoking cessation programs.
3. Contacted 10 local businesses to identify possible sites.
4. Attended a planning meeting on upcoming budget review.
5. Meet with committee for planning of annual health conference.
Observations
1. Planning for conference requires more lead-time than I thought.
2. Three of ten businesses contacted are potentially interested.
3. Some companies felt they were doing enough for employee health.
4. Many smoking cessation programs available need to choose more feasible one.
Planning For Next Week
1. Meet with personnel department of each interested company.
2. Meet with supervisor to select smoking cessation program.
3. Contact guest speakers for conference.
4. Make reservations for conference meeting rooms and A/V equipment.
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Weekly Internship Log (Sample 2)
Work Log for: ____________________________________________________
Organization _______________________________________________________
Semester ________________________________ Year ___________________
Hours Verified by _______________________________
Date
June 1
# Hrs
6
Mentor
John Smith
Activity/Skills &Learning
Today was my first day. I attended the weekly staff
meeting and was introduced to all the staff members.
I was escorted on a building tour and was provided
with my badge to access the building. I learned about
the projects that I will be working on and started to
set up times to shadow other employees.
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Weekly Internship Log (Sample 1)
Student
Site
Week Number
Hours Worked
M
T
W
R
F
Activities
1.
2.
3.
4.
5.
Observations
1.
2.
3.
4.
5.
Planning For Next Week
1.
2.
3.
4.
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Weekly Internship Log (Sample 2)
Work Log for: ____________________________________________________
Organization _______________________________________________________
Semester ________________________________ Year ___________________
Hours Verified by _______________________________
Date
# Hrs
Mentor
Activity/Skills &Learning
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MIDTERM
Site Assessment of Student Performance
To be completed by site preceptor
Student Name: _____________________________________________________________
Preceptor:
Title:
Site:
Site Address:
City, State, Zip:
Phone: _____________________________ Dates of Placement: ______________
Please evaluate the student’s performance by placing a check mark in the appropriate boxes,
using as a basis the work that you have observed the student performing
Student has the following KNOWLEDGE
Excellent
Above
Average
Average
Poor
Below
Average
Of scientific basis for the profession
Of methods to assess & analyze
client/organizational needs
Of appropriate theories/models relevant to the
internship site
Of individual, small and/or large group public
health strategies
Of relevant policies and practices at the state,
federal and local level
Of local resources
Of models for designing and implementing
programs
Of effective management practices such as
planning, budgeting, marketing, staffing
Of effective methods of program evaluation
Additional Comments:
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MIDTERM SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)
Student exhibits the following SKILLS:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Able to identify problem/assess
client/organizational interest and need
Formulates goals and objectives
Selects strategies relevant to the situation
Delivers service or program effectively to clients
Makes optimum use of available
service/resources
Develops measures to evaluate outcomes
Prepares appropriate reports/maintenance
records
Plans and organizes time effectively
Accomplishes assigned tasks with a minimum of
supervision
Makes sound decisions, using good judgment and
common sense
Produces accurate, thorough work
Expresses self well in oral and written work
Follows policies and procedures
Able to identify problem/assess
client/organizational interest and need
Additional Comments:
Student exhibits the following INTERPERSONAL
SKILLS:
Works harmoniously with colleagues
Works harmoniously with staff
Works harmoniously with representatives of
other agencies
Participates effectively with group situations
Communicates effectively with stakeholders
Communicates effectively with staff
Additional Comments:
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MIDTERM SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)
Student exhibits the following ATTITUDES:
Excellent Above
Average Poor
Below
Average
Average
Possesses emotional stability and maturity
Is mentally active and attentive
Shows leadership qualities
Shows interest & enthusiasm for assigned
activities
Recognizes own strengths and weaknesses
Responds positively to supervision
Additional Comments:
Student exhibits the following POTENTIAL:
Excellent
Above
Average
Average
Poor
Below
Average
Shows potentialities of becoming an effective site
employee
Has potential for contributing to profession
Has potential for supervisory & administrative
work
Additional Comments:
Please include any additional documentation below or attached related to the students on the job
performance.
Overall Performance
□ Excellent
Signature
□ Above Average
□ Average
□ Below Average
□ Poor
Date
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MIDTERM
Student Self-Assessment of Internship
To be completed by student
Student Name:
Site preceptor:
Title:
Site:
Site Address:
City, State, Zip:
Phone:
Dates of Placement:
Please evaluate your performance by placing a check mark in the appropriate boxes,
using as a basis the work that you have observed the student performing
Student has the following KNOWLEDGE
Excellent Above
Average Poor
Average
Of scientific basis for the profession
Of methods to assess & analyze
client/organizational needs
Of appropriate theories/models relevant to the
internship site
Of individual, small and/or large group public
health strategies
Of relevant policies and practices at the state,
federal and local level
Of local resources
Of models for designing and implementing
programs
Of effective management practices such as
planning, budgeting, marketing, staffing
Of effective methods of program evaluation
Additional Comments:
College of Public Health – Kent State University Internship Guide (2/16/2016 JLM)
Below
Average
28 | P a g e
MIDTERM STUDENT SELF-ASSESSMENT (Cont.)
Student exhibits the following SKILLS:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Able to identify problem/assess
client/organizational interest and need
Formulates goals and objectives
Selects strategies relevant to the situation
Delivers service or program effectively to clients
Makes optimum use of available
service/resources
Develops measures to evaluate outcomes
Prepares appropriate reports/maintenance
records
Plans and organizes time effectively
Accomplishes assigned tasks with a minimum of
supervision
Makes sound decisions, using good judgment and
common sense
Produces accurate, thorough work
Expresses self well in oral and written work
Follows policies and procedures
Able to identify problem/assess
client/organizational interest and need
Additional Comments:
Student exhibits the following INTERPERSONAL
SKILLS:
Works harmoniously with colleagues
Works harmoniously with staff
Works harmoniously with representatives of
other agencies
Participates effectively with group situations
Communicates effectively with stakeholders
Communicates effectively with staff
Additional Comments:
MIDTERM STUDENT SELF-ASSESSMENT (Cont.)
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Student exhibits the following ATTITUDES:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Possesses emotional stability and maturity
Is mentally active and attentive
Shows leadership qualities
Shows interest & enthusiasm for assigned
activities
Recognizes own strengths and weaknesses
Responds positively to supervision
Additional Comments:
Student exhibits the following POTENTIAL:
Shows potentialities of becoming an effective site
employee
Has potential for contributing to profession
Has potential for supervisory & administrative
work
Additional Comments:
Signature
Date
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SITE ASSESSMENT FORM
To be completed by student
Student Name:
Site preceptor:
Title:
Site:
Site Address:
City, State, Zip:
Phone:
Dates of Placement:
---------------------------------------------------------------------------------------------------------------------
NUMBER OF HOURS WORKED PER WEEK:
1.
Description of duties and responsibilities:
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2.
Describe the learning experience at this site?
A. What experience(s) were most helpful? Why?
B. What experience(s) were least helpful? Why
3.
Do you receive adequate supervision and guidance from your site preceptor?
4.
What feedback or recommendations do you have to improve the
internship experience at the placement facility?
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5.
Would you recommend other students use this placement facility?
6.
Other comments:
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FINAL
Site Assessment of Student Performance
To be completed by site preceptor
Student Name: _____________________________________________________________
Preceptor:
Title:
Site:
Site Address:
City, State, Zip:
Phone: _____________________________ Dates of Placement: ______________
Please evaluate the student’s performance by placing a check mark in the appropriate boxes,
using as a basis the work that you have observed the student performing
Student has the following KNOWLEDGE
Excellent
Above
Average
Average
Poor
Below
Average
Of scientific basis for the profession
Of methods to assess & analyze
client/organizational needs
Of appropriate theories/models relevant to the
internship site
Of individual, small and/or large group public
health strategies
Of relevant policies and practices at the state,
federal and local level
Of local resources
Of models for designing and implementing
programs
Of effective management practices such as
planning, budgeting, marketing, staffing
Of effective methods of program evaluation
Additional Comments:
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FINAL SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)
Student exhibits the following SKILLS:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Able to identify problem/assess
client/organizational interest and need
Formulates goals and objectives
Selects strategies relevant to the situation
Delivers service or program effectively to clients
Makes optimum use of available
service/resources
Develops measures to evaluate outcomes
Prepares appropriate reports/maintenance
records
Plans and organizes time effectively
Accomplishes assigned tasks with a minimum of
supervision
Makes sound decisions, using good judgment and
common sense
Produces accurate, thorough work
Expresses self well in oral and written work
Follows policies and procedures
Able to identify problem/assess
client/organizational interest and need
Additional Comments:
Student exhibits the following INTERPERSONAL
SKILLS:
Works harmoniously with colleagues
Works harmoniously with staff
Works harmoniously with representatives of
other agencies
Participates effectively with group situations
Communicates effectively with stakeholders
Communicates effectively with staff
Additional Comments:
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FINAL SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)
Student exhibits the following ATTITUDES:
Excellent Above
Average Poor
Below
Average
Average
Possesses emotional stability and maturity
Is mentally active and attentive
Shows leadership qualities
Shows interest & enthusiasm for assigned
activities
Recognizes own strengths and weaknesses
Responds positively to supervision
Additional Comments:
Student exhibits the following POTENTIAL:
Excellent
Above
Average
Average
Poor
Below
Average
Shows potentialities of becoming an effective site
employee
Has potential for contributing to profession
Has potential for supervisory & administrative
work
Additional Comments:
Please include any additional documentation below or attached related to the students on the job
performance.
Overall Performance
□ Excellent
Signature
□ Above Average
□ Average
□ Below Average
□ Poor
Date
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FINAL
Student Self-Assessment of Internship
To be completed by student
Student Name:
Site preceptor:
Title:
Site:
Site Address:
City, State, Zip:
Phone:
Dates of Placement:
--------------------------------------------------------------------------------------------------------------------Please evaluate your performance by placing a check mark in the appropriate boxes,
using as a basis what you have accomplished rather than what you may be able to do.
Student has the following KNOWLEDGE
Excellent Above
Average Poor
Average
Of scientific basis for the profession
Of methods to assess & analyze
client/organizational needs
Of appropriate theories/models relevant to the
internship site
Of individual, small and/or large group public
health strategies
Of relevant policies and practices at the state,
federal and local level
Of local resources
Of models for designing and implementing
programs
Of effective management practices such as
planning, budgeting, marketing, staffing
Of effective methods of program evaluation
Additional Comments:
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Below
Average
FINAL STUDENT SELF-ASSESSMENT (Cont.)
Student exhibits the following SKILLS:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Able to identify problem/assess
client/organizational interest and need
Formulates goals and objectives
Selects strategies relevant to the situation
Delivers service or program effectively to clients
Makes optimum use of available
service/resources
Develops measures to evaluate outcomes
Prepares appropriate reports/maintenance
records
Plans and organizes time effectively
Accomplishes assigned tasks with a minimum of
supervision
Makes sound decisions, using good judgment and
common sense
Produces accurate, thorough work
Expresses self well in oral and written work
Follows policies and procedures
Able to identify problem/assess
client/organizational interest and need
Additional Comments:
Student exhibits the following INTERPERSONAL
SKILLS:
Works harmoniously with colleagues
Works harmoniously with staff
Works harmoniously with representatives of
other agencies
Participates effectively with group situations
Communicates effectively with stakeholders
Communicates effectively with staff
Additional Comments:
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FINAL STUDENT SELF-ASSESSMENT (Cont.)
Student exhibits the following ATTITUDES:
Excellent
Above
Average
Average
Poor
Below
Average
Excellent
Above
Average
Average
Poor
Below
Average
Possesses emotional stability and maturity
Is mentally active and attentive
Shows leadership qualities
Shows interest & enthusiasm for assigned
activities
Recognizes own strengths and weaknesses
Responds positively to supervision
Additional Comments:
Student exhibits the following POTENTIAL:
Shows potentialities of becoming an effective site
employee
Has potential for contributing to profession
Has potential for supervisory & administrative
work
Additional Comments:
Signature
Date
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Course Syllabi
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Environmental Health Sciences Internship
4-6 Credit Hours
SAMPLE SYLLABUS – CONTENT MAY CHANGE FROM SEMESTER TO SEMESTER.
Please review your Blackboard course for current syllabus.
Instructor:
Email:
Phone:
Office Address:
Office Hours:
Course Information
The purpose of the environmental and occupational health and safety internship is to
supplement the student in-class learning experiences with practical hand-on skills and work
practice experiences that helps them develop the environmental competencies required for
success in the field. Prerequisite: junior or senior standing; and special approval.
General Operating Procedures
1. The Internship requirement may not be waiver for students who have had professional
experience in the past.
2. The internship will generally correspond with the official calendar of Kent State University,
with students fulfilling this requirement during the officially designated fall, spring, or
summer semesters. Internships may be designed over more than one semester with
approval of the departmental internship contact.
3. The duration of the internship is variable but usually takes place during a regular 15 week
semester period. Any deviations must be approved by the departmental internship contact.
4. The internship location, assignments, and project must be approved by the departmental
internship contact.
5. All organizations must comply with the policies for the administration of the internship.
6. The internship should not be terminated by any of the parties without first consulting the
departmental internship contact.
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7. Students will represent the organization, university, and profession in a professional
manner at all times. The student will practice safe work practices and follow the policies of
their internship organization at all times. Any issues should be brought to the attention of
the departmental internship contact.
8. Work rules and policies established by the internship site, company, or other internship
sponsor for employee conduct, dress code, professionalism, ethics, safety, etc. must be
followed by the student, unless expressed approval is granted by the internship site and the
Departmental Internship Supervisor.
9. Any proprietary information, trade secrets, confidentiality requirements, photography
restrictions, etc. must be strictly adhered to by the student
Credit Hours
This course is a variable hour course. Students may complete a minimum of three or
maximum of six internship hours during their time in the College of Public Health. Students
must complete 50 internship hours for each earned credit hour. Therefore:
3 credit hours of Internship = 150 internship hours
4 credit hours of Internship = 200 internship hours
5 credit hours of Internship = 250 internship hours
6 credit hours of Internship = 300 internship hours
Students have the best opportunity for an internship experience when their hours are earned
over a 10-15 week period, this allows for the greatest breadth and depth of experiences and
learning. Students may complete an internship in a truncated amount of time with the
departmental internship coordinator’s permission.
Students in the Environmental Health Sciences concentration must complete a minimum of 4
credit hours of internship to satisfy their program requirements.
Prerequisite and co--‐requisite course(s)
Prior to beginning the internship process, students must be academically qualified for the
internship experience. Students must:
1. Hold junior or senior standing
2. Hold a 2.5 cumulative and major GPA (2.0 for students in the Environmental Health
Sciences Concentration)
3. Have completed at a minimum 50% of their core public health courses
Competencies and Learning Objectives
1. Students will be able to gain additional experience and connect with their major and
concentration
2. Students will be able to apply public health concepts and skills in a practical setting under
the guidance of a trained professional.
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3. Students will be able to understand the transition from the university setting to the
applied work setting
4. Students will be able to adapt more readily to the professional roles they are about to
assume upon graduation.
Required Textbook
College of Public Health Internship Manual
Class Attendance
Class attendance is not required. However, it is expected that the student and the site
preceptor define a work schedule for the duration of the internship.
Use of E--‐mail
Email is an official means of communication between Kent State University and students. It
is your responsibility to check your Kent State email account regularly. It is also important to
use your Kent State email account when corresponding with your instructor. E-­­mail services
such as Gmail, Hotmail, and Yahoo can be blocked by the university and should not be used
to correspond with your instructors. You may email instructors within LEARN at email
addresses listed above. Due to FERPA regulations, we do not communicate grades or course
related materials to non-KSU email addresses.
Students are responsible for all information sent to them via their university-­­assigned
email account. If a student chooses to forward information in their university email
account, he or she is responsible for all information, including attachments, sent to any
other email account. To stay current with university information, students are expected
to check their official university email account and other electronic communications on a
frequent and consistent basis. Recognizing that some communications may be time
critical, the university recommends that electronic communications be checked
minimally twice a week.
For a complete listing of university communication policies, please refer to the
Administrative policy regarding electronic communication for students on the KSU
Policy Register.
Technological Competencies
Students must be proficient with basic computer operations including, but not limited to:
copying and printing files, accessing files in directories and subdirectories, logging
onto all KSU Internet systems (e.g., FlashLine, LEARN, Gmail, etc.), accessing the Internet,
using a word processor (e.g., Microsoft Word), using a spreadsheet program (e.g., Microsoft
Excel), and using a presentation program (e.g., Microsoft PowerPoint). Students lacking
these skills must contact the KSU Helpdesk for assistance (helpdesk@kent.edu or 330-­­672College of Public Health – Kent State University Internship Guide (2/16/2016 JLM)
43 | P a g e
­­4357). It is the student’s responsibility to acquire these skills, be able to perform
them independently, and have sufficient access to a computer capable of performing all
of these functions.
Students with Disabilities
University policy requires that students with disabilities be provided reasonable
accommodations to ensure their equal access to course content. If you have a
documented disability and require accommodations, please contact the instructor at the
beginning of the semester to make arrangements for necessary classroom adjustments.
Please note that you must first verify your eligibility through Student Accessibility Services.
Contact (330)672-­­3391 or visit www.kent.edu/sas for more information on relevant
policies and registration procedures.
Class enrollment
Students have the responsibility to ensure that they are properly enrolled in classes.
Students are advised to review their official class schedule (using Student Tools in
FlashFast) during the first week of the semester to ensure proper enrollment in courses
and sections. If errors are found you have until Sunday, January 24, 2016 to correct the
error with the College of Public Health advising office (126 Lowry). If you attend a class in
which you are not properly registered you will not receive a grade at the conclusion of
the semester.
Cheating and Plagiarism
As stated by the university, “Students enrolled in the university, at all its campuses, are to
perform their academic work according to standards set by faculty members,
departments, schools and colleges of the university; and cheating and plagiarism
constitute fraudulent misrepresentation for which no credit can be given and for which
appropriate sanctions are warranted and will be applied.” Thus, any form of cheating and
plagiarism, as defined by KSU policy, may result in an immediate failing grade for the
affected assignment(s) and the student may be referred to appropriate departmental,
college, and university officials for further action.
The definitions of cheating and plagiarism are defined by Section 3--­01.8 of KSU’s official
policies:
(B)
Definitions. As used in this rule:
(1)
"Cheat" means intentionally to misrepresent the source, nature, or other
conditions of academic work so as to accrue undeserved credit, or to cooperate with
someone else in such misrepresentation. Such misrepresentations may, but need not
necessarily, involve the work of others. As defined, cheating includes, but is not limited to:
(a)
Obtaining or retaining partial or whole copies of examination, tests or quizzes
before these are distributed for student use;
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Using notes, textbooks or other information in examinations, tests and
quizzes, except as expressly permitted;
(c)
Obtaining confidential information about examinations, tests or quizzes other
than that released by the instructor;
Securing, giving or exchanging information during examinations;
Presenting data or other material gathered by another person or group as one's own;
Falsifying experimental data or information;
(g)
Having another person take one's place for any academic performance without
the specific knowledge and permission of the instructor;
Cooperating with another to do one or more of the above; and
(i)
Using a substantial portion of a piece of work previously submitted for another
course or program to meet the requirements of the present course or program without
notifying the instructor to whom the work is presented.
(j)
Presenting falsified information in order to postpone or avoid examinations,
tests, quizzes, or other academic work.
(2)
"Plagiarize" means to take and present as one's own a material portion of the
ideas or words of another or to present as one's own an idea or work derived from an
existing source without full and proper credit to the source of the ideas, words, or works.
As defined, plagiarize includes, but is not limited to:
(a)
The copying of words, sentences and paragraphs directly from the work of another
without proper credit;
(b)
The copying of illustrations, figures, photographs, drawings, models, or other
visual and nonverbal materials, including recordings, of another without proper
credit; and
(c)
The presentation of work prepared by another in final or draft form as one's
own without citing the source, such as the use of purchased research papers.
(b)
(d)
(e)
(f)
(h)
The full policy, including sanctions, can be found here:
http://www.kent.edu/policyreg/policydetails.cfm?customel_datapageid_1976529=2037779
Additional resources regarding plagiarism can be found here:
http://www.kent.edu/academics/resources/plagiarism/Information-­­for-­­
Students/index.cfm
Assignments
The student will be required to complete the following requirements to pass the
course, additional materials many be requested be requested of the student. Students
should consult their course syllabus for additional items.

The student will maintain a daily log of work activities, to be submitted at the
end of the internship for evaluation. The log must include each day’s activities,
person they worked with, what they did, and what skills or learning they
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experienced.

The student and site preceptor will complete and submit the midterm and final
Student Self-Evaluation Form.

The student will conduct and complete an individual project selected by the
student, approved by the Departmental Internship Coordinator and as assigned
by the organization. The project must have a written paper, report, training
program, data analysis, or other documented and project outcome as required
by the organization. A copy must be given to the organization and submitted to
the EHS internship coordinator for evaluation as part of the internship
evaluation process.

The student will develop and maintain an internship portfolio. All internship
materials required will be organized into a portfolio to be submitted for
evaluation at the end of the internship by the departmental internship
supervisor. The portfolio should include the following:
o
o
o
o
Daily Log of Work activities
Midterm and Final Student evaluations
Site Assessment Form
A two to five page essay on the goals the student defined in the
“Defining The Goals For My Internship Worksheet” and how the
internship experience assisted the student with goal clarification.
All required work must be submitted to the Departmental Internship Supervisor by 5:00 PM on
the Monday of finals week for the semester enrolled for evaluation.
Late assignments will not be accepted.
All work submitted will be considered your final work and intended for grading and
review according to standards of academic honesty. If you maintain multiple copies of
electronic files, you are strictly responsible for ensuring that the one submitted is final,
complete, and fully cited according to APA style guidelines.
Course Web Space
This course will be utilizing web space on the Blackboard Learn server. To log in, go to the
following address http://learn.kent.edu and select Kent State University from the list. You
should log on using your Flashline username and password. Blackboard Learn utilizes pop-­­up
windows and Java based software. You can contact the help desk at
(330) 672--­HELP if you are experiencing technical difficulties.
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Grading
This course is graded on a Pass/Fail Basis. Students who complete all internship assignments
and perform at an average to above average level will receive a passing grade. Students who
fail to turn in all internship assignments or perform at a below average level will receive a failing
grade for the course.
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Internship in Public Health
3-6 Credit Hours
SAMPLE SYLLABUS – CONTENT MAY CHANGE FROM SEMESTER TO SEMESTER.
Please review your Blackboard course for current syllabus.
Instructor:
Email:
Phone:
Office Address:
Office Hours:
Course Information
Capstone internship experience in a public health setting under the supervision of a site
preceptor and university supervisor. Students gain experience in public health work.
Prerequisite: senior standing and special approval.
General Operating Procedures
1. The Internship requirement may not be waiver for students who have had
professional experience in the past.
2. The internship will generally correspond with the official calendar of Kent State
University, with students fulfilling this requirement during the officially designated
fall, spring, or summer semesters. Internships may be designed over more than one
semester with approval of the departmental internship contact.
3. The duration of the internship is variable but usually takes place during a regular 15
week semester period. Any deviations must be approved by the departmental
internship contact.
4. The internship location, assignments, and project must be approved by the
departmental internship contact.
5. All organizations must comply with the policies for the administration of the
internship.
6. The internship should not be terminated by any of the parties without first
consulting the departmental internship contact.
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7. Students will represent the organization, university, and profession in a professional
manner at all times. The student will practice safe work practices and follow the
policies of their internship organization at all times. Any issues should be brought to
the attention of the departmental internship contact.
8. Work rules and policies established by the internship site, company, or other
internship sponsor for employee conduct, dress code, professionalism, ethics,
safety, etc. must be followed by the student, unless expressed approval is granted
by the internship site and the Departmental Internship Supervisor.
9. Any proprietary information, trade secrets, confidentiality requirements,
photography restrictions, etc. must be strictly adhered to by the student
Credit Hours
This course is a variable hour course. Students may complete a minimum of three or
maximum of six internship hours during their time in the College of Public Health. Students
must complete 50 internship hours for each earned credit hour. Therefore:
3 credit hours of Internship = 150 internship hours
4 credit hours of Internship = 200 internship hours
5 credit hours of Internship = 250 internship hours
6 credit hours of Internship = 300 internship hours
Students have the best opportunity for an internship experience when their hours are earned
over a 10-15 week period, this allows for the greatest breadth and depth of experiences and
learning. Students may complete an internship in a truncated amount of time with the
departmental internship coordinator’s permission.
Students in the Environmental Health Sciences concentration must complete a minimum of 4
credit hours of internship to satisfy their program requirements.
Prerequisite and co--‐requisite course(s)
Prior to beginning the internship process, students must be academically qualified for the
internship experience. Students must:
1. Hold junior or senior standing
2. Hold a 2.5 cumulative and major GPA (2.0 for students in the Environmental Health
Sciences Concentration)
3. Have completed at a minimum 50% of their core public health courses
Competencies and Learning Objectives
1. Students will be able to gain additional experience and connect with their major and
concentration
2. Students will be able to apply public health concepts and skills in a practical setting under
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the guidance of a trained professional.
3. Students will be able to understand the transition from the university setting to the
applied work setting
4. Students will be able to adapt more readily to the professional roles they are about to
assume upon graduation.
Required Textbook
College of Public Health Internship Manual
Class Attendance
Class attendance is not required. However, it is expected that the student and the site
preceptor define a work schedule for the duration of the internship.
Use of E--‐mail
Email is an official means of communication between Kent State University and students. It
is your responsibility to check your Kent State email account regularly. It is also important to
use your Kent State email account when corresponding with your instructor. E-­­mail services
such as Gmail, Hotmail, and Yahoo can be blocked by the university and should not be used
to correspond with your instructors. You may email instructors within LEARN at email
addresses listed above. Due to FERPA regulations, we do not communicate grades or course
related materials to non-KSU email addresses.
Students are responsible for all information sent to them via their university-­­assigned
email account. If a student chooses to forward information in their university email
account, he or she is responsible for all information, including attachments, sent to any
other email account. To stay current with university information, students are expected
to check their official university email account and other electronic communications on a
frequent and consistent basis. Recognizing that some communications may be time
critical, the university recommends that electronic communications be checked
minimally twice a week.
For a complete listing of university communication policies, please refer to the
Administrative policy regarding electronic communication for students on the KSU
Policy Register.
Technological Competencies
Students must be proficient with basic computer operations including, but not limited to:
copying and printing files, accessing files in directories and subdirectories, logging
onto all KSU Internet systems (e.g., FlashLine, LEARN, Gmail, etc.), accessing the Internet,
using a word processor (e.g., Microsoft Word), using a spreadsheet program (e.g., Microsoft
Excel), and using a presentation program (e.g., Microsoft PowerPoint). Students lacking
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these skills must contact the KSU Helpdesk for assistance (helpdesk@kent.edu or 330-­­672­­4357). It is the student’s responsibility to acquire these skills, be able to perform
them independently, and have sufficient access to a computer capable of performing all
of these functions.
Students with Disabilities
University policy requires that students with disabilities be provided reasonable
accommodations to ensure their equal access to course content. If you have a
documented disability and require accommodations, please contact the instructor at the
beginning of the semester to make arrangements for necessary classroom adjustments.
Please note that you must first verify your eligibility through Student Accessibility Services.
Contact (330)672-­­3391 or visit www.kent.edu/sas for more information on relevant
policies and registration procedures.
Class enrollment
Students have the responsibility to ensure that they are properly enrolled in classes.
Students are advised to review their official class schedule (using Student Tools in
FlashFast) during the first week of the semester to ensure proper enrollment in courses
and sections. If errors are found you have until Sunday, January 24, 2016 to correct the
error with the College of Public Health advising office (126 Lowry). If you attend a class in
which you are not properly registered you will not receive a grade at the conclusion of
the semester.
Cheating and Plagiarism
As stated by the university, “Students enrolled in the university, at all its campuses, are to
perform their academic work according to standards set by faculty members,
departments, schools and colleges of the university; and cheating and plagiarism
constitute fraudulent misrepresentation for which no credit can be given and for which
appropriate sanctions are warranted and will be applied.” Thus, any form of cheating and
plagiarism, as defined by KSU policy, may result in an immediate failing grade for the
affected assignment(s) and the student may be referred to appropriate departmental,
college, and university officials for further action.
The definitions of cheating and plagiarism are defined by Section 3--­01.8 of KSU’s official
policies:
(C)
Definitions. As used in this rule:
(1)
"Cheat" means intentionally to misrepresent the source, nature, or other
conditions of academic work so as to accrue undeserved credit, or to cooperate with
someone else in such misrepresentation. Such misrepresentations may, but need not
necessarily, involve the work of others. As defined, cheating includes, but is not limited to:
(a)
Obtaining or retaining partial or whole copies of examination, tests or quizzes
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(d)
(e)
(f)
(h)
before these are distributed for student use;
(b)
Using notes, textbooks or other information in examinations, tests and
quizzes, except as expressly permitted;
(c)
Obtaining confidential information about examinations, tests or quizzes other
than that released by the instructor;
Securing, giving or exchanging information during examinations;
Presenting data or other material gathered by another person or group as one's own;
Falsifying experimental data or information;
(g)
Having another person take one's place for any academic performance without
the specific knowledge and permission of the instructor;
Cooperating with another to do one or more of the above; and
(i)
Using a substantial portion of a piece of work previously submitted for another
course or program to meet the requirements of the present course or program without
notifying the instructor to whom the work is presented.
(j)
Presenting falsified information in order to postpone or avoid examinations,
tests, quizzes, or other academic work.
(2)
"Plagiarize" means to take and present as one's own a material portion of the
ideas or words of another or to present as one's own an idea or work derived from an
existing source without full and proper credit to the source of the ideas, words, or works.
As defined, plagiarize includes, but is not limited to:
(a)
The copying of words, sentences and paragraphs directly from the work of another
without proper credit;
(b)
The copying of illustrations, figures, photographs, drawings, models, or other
visual and nonverbal materials, including recordings, of another without proper
credit; and
(c)
The presentation of work prepared by another in final or draft form as one's
own without citing the source, such as the use of purchased research papers.
The full policy, including sanctions, can be found here:
http://www.kent.edu/policyreg/policydetails.cfm?customel_datapageid_1976529=2037779
Additional resources regarding plagiarism can be found here:
http://www.kent.edu/academics/resources/plagiarism/Information-­­for-­­
Students/index.cfm
Assignments
The student will be required to complete the following requirements to pass the
course, additional materials many be requested be requested of the student. Students
should consult their course syllabus for additional items.

The student will maintain a daily log of work activities, to be submitted at the
end of the internship for evaluation. The log must include each day’s activities,
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person they worked with, what they did, and what skills or learning they
experienced.

The student and site preceptor will complete and submit the midterm and final
Student Self-Evaluation Form.

The student will develop and maintain an internship portfolio. All internship
materials required will be organized into a portfolio to be submitted for
evaluation at the end of the internship by the departmental internship
supervisor. The portfolio should include the following:
o
o
o
o
Daily Log of Work activities
Midterm and Final Student evaluations
Site Assessment Form
A two to five page essay on the goals the student defined in the
“Defining The Goals For My Internship Worksheet” and how the
internship experience assisted the student with goal clarification.
All required work must be submitted to the Departmental Internship Supervisor by 5:00 PM on
the Monday of finals week for the semester enrolled for evaluation.
Late assignments will not be accepted.
All work submitted will be considered your final work and intended for grading and
review according to standards of academic honesty. If you maintain multiple copies of
electronic files, you are strictly responsible for ensuring that the one submitted is final,
complete, and fully cited according to APA style guidelines.
Course Web Space
This course will be utilizing web space on the Blackboard Learn server. To log in, go to the
following address http://learn.kent.edu and select Kent State University from the list. You
should log on using your Flashline username and password. Blackboard Learn utilizes pop-­­up
windows and Java based software. You can contact the help desk at
(330) 672--­HELP if you are experiencing technical difficulties.
Grading
This course is graded on a Pass/Fail Basis. Students who complete all internship assignments
and perform at an average to above average level will receive a passing grade. Students who
fail to turn in all internship assignments or perform at a below average level will receive a failing
grade for the course.
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