School of Arts & Humanities
Internship Agreement Form
Claremont Graduate University anticipates that the internship experience provides each student
with a valuable opportunity to apply and augment the knowledge obtained in the classroom.
Students are required to complete a minimum of 100 hours during the course of the internship.
This form must be submitted for approval by the Internship Supervisor and the Department
before beginning the internship.
Student Name
Student's Program
Student's Faculty Advisor
Term
Year
Number of Units Requested
Internship Organization Information:
Name
Address
City
Country
Phone Number
Name of Internship Supervisor
Total Hours to be Worked
State
Zip Code
Anticipated Weekly Schedule
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Hours
Paid
Unpaid
If paid, explain method:
Please attach internship description from organization/agency (on letterhead)
to this form before returning to Arts & Humanities office.
Student Signature
Date
Internship Supervisor Signature
Date
Department Approval
Date
Print Form
Please return this form to:
Arts & Humanities
Claremont Graduate University
831 North Dartmouth Ave.
Claremont CA 91711
(909) 621-8612