ROBERT M. LA FOLLETTE SCHOOL OF PUBLIC AFFAIRS
University of Wisconsin – Madison
PA 827 Administrative Internship Organization/Student Agreement
The PA 827 Administrative Internship course is an academic elective of the La Follette School
(LFS). This course allows students to apply their knowledge and skills to significant problems in the
public, private, or non-profit sectors, and provides students with opportunities to develop and
enhance skills in areas of professional interest. The LFS expects interns’ work to be policy-focused,
challenging, and of significance and value to the internship organization.
STUDENT INFORMATION
Name:
Telephone:
Email:
Expected graduation date:
Degree(s):
INTERNSHIP INFORMATION
Internship organization name:
Department:
Street address:
City:
State:
Country:
ZIP:
Supervisor’s name and title:
Email:
Telephone:
POLICY AREA (S) Please check the policy area(s) that best reflect the nature of your internship work.
Consulting
Economic/Community Development
Education
Environmental Policy
Finance/Banking/Budgeting
Government Relations/Lobbying
Health Policy
Housing Policy
Human Rights
International Development
International Policy/Foreign Affairs
Labor Policy
Law
Nonprofit/Public Management
Research
Social Welfare Policy
Tax Policy
Technology/Communication
Trade/Commerce
Transportation
Urban Policy
Other:
For more information, see the LFS Student Handbook, Section 10: Internships,
http://www.lafollette.wisc.edu/students/Handbook_2013.pdf
Please complete the next sections with your employer. Attach additional sheets describing the nature and
scope of the internship, if necessary.
INTERNSHIP DATES
From:
To:
Hours per week:
SPECIFIC PROJECTS AND INTERNSHIP RESPONSIBILITIES
COMPENSATION (hourly rate, stipend, timeline of payment)
WORK SPACE AND RESOURCES (desk, cubicle, computer, etc.)
SUPERVISION (including mentoring and exposure to key people in the organization and policy field that the
intern can expect as part of this internship)
Internship Supervisor signature:
Date:
Student Signature:
Date:
LFS Director Signature:
_________
Date:
A completed and signed agreement form must be submitted to the La Follette School Director before
the start of your internship. Mail forms to Director, Robert M. La Follette School of Public Affairs,
University of Wisconsin – Madison, 1225 Observatory Drive, Madison, WI 53706 or fax to
608.265.3233.