COMMUNICATIONS INTERNSHIP ENROLLMENT CHECKLIST (Undergraduate) for Fall 2016 Semester in New York City [ ] Read the online Guidelines (http://www.ithaca.edu/rhp/internships/docs/guidelines) to understand Park School’s internship policies. [ ] Complete the Ithaca College Sexual Harassment Prevention online tutorial via http://www.ithaca.edu/sacl/share/education/ Send the certificate of completion to Eloise Greene with your app. [ ] Complete the Application Form on page 2 [ ] Attach your internship proposal/learning plan, describing: The organization/department you’ll be working in What activities and responsibilities will be assigned Who at the organization will supervise your work Specific learning objectives for this internship How you are prepared for this internship [ ] Attach a letter of agreement from the organization’s Site Supervisor to include: Supervisor’s name and contact information Internship start and end dates, and hours per week Activities that you will engage in How your responsibilities will increase over the term What you will be expected to learn Description of the workspace/resources that will be provided. (Note that internships cannot be undertaken in a home office.) Terms of compensation, if any [ ] Attach your resume. Return the completed application to Eloise Greene, Park 335. Email Eloise@ithaca.edu or fax 607-274-1108. You will be enrolled by the dean’s office. A letter confirming registration will be emailed to the internship site supervisor, with a copy to you. NYC Director Hersey Egginton will be your Park School academic sponsor. ________________________________________________________________________________ All internships include the following academic requirements: Participate in the scheduled NYC internship meetings in Manhattan Complete a weekly log with your hours and activities. Mr. Egginton will provide more detail. At a scheduled date, make a presentation to your seminar class about the internship. Park School of Communications New York City Program Internship Application Attach: Number of credits for this internship __________ Organization Agreement Letter Number of previous internship credits _________ Your Proposal Total college credits completed prior to this internship: ________ Resume I attended/completed Sexual Harassment Prevention ________ Semester in which internship will take place Fall 2016 Internship start and end dates _________________________ Student Name______________________________________________________ ID______________________ NYC Address________________________________________________________________________________ Phone _________________________________ Email address ________________________________ Major__________________________ Concentration _______________________ Cumulative GPA __________ Internship Organization: _______________________________________________________________________________________ Site Supervisor Name _________________________________________________________________ Title __________________________________________________________________ Mailing Address __________________________________________________________________________ Phone ________________________________ Email address __________________________________ REQUIRED SIGNATURES: I understand that being an intern is a serious responsibility, and that as an intern I will be representing the Park School and Ithaca College, as well as myself. I have considered my academic load and other commitments and am able and willing to devote the time and energy necessary to make my internship experience a successful one. I understand my responsibility in reporting any harassment, sexual or otherwise, to my Ithaca sponsor and site sponsor. Student Signature Date Page 2 of 2 I have reviewed the internship application, student’s proposal, and the organization’s letter of agreement. _______________________________________________________________________________________ (Professional Development Coordinator (Eloise Greene) Date I have reviewed the internship application, student’s proposal, and the organization’s letter of agreement. ______________________________________________________________________________________ Park School Associate Dean (Bryan Roberts) Date New York City Program Director Mr. Hersey Egginton (hegginton@ithaca.edu) will be the academic sponsor for the internship. Internship site supervisors are asked to provide Mr. Egginton with midterm and final student evaluations. Office use: Course Number __________________ CRN____________________ Confirmation of attendance at Sexual Harassment Prevention session _______________ (Eloise Greene) Notes Roy H. Park School of Communications, Ithaca College 953 Danby Rd., Ithaca NY 14850 Fax 607-274-1108