Page 1 of 4 Do you have a student who wants to intern at your organization? If yes, please give us his/her name. Student Name: Department of Communication New Site Application Form For Prospective Internship Please fill out this packet in its entirety, and include a resume, bio or LinkedIn Profile URL for the person who will supervise the student intern. Return this packet by mail, fax, email or in person: In Person: Department of Communication Front Desk Building 14D Mail to: University of North Florida Department of Communication Internship Program 1 UNF Drive Building 14D / Room 2002 Jacksonville, FL 32224 Fax: 904-620-2652 Email: Commstu1@unf.edu For more information, please email us at the address above or call us at 904-620-2651. Attach: 1. Site Supervisor Resume or LinkedIn Profile URL 2. One-paragraph description of the organization 3. A bulleted, detailed job description of the internship duties For official Office Use Only UNF Communication Coordinator _____________________________________ Signature NOTES: ___________________ Date Page 2 of 4 Department of Communication Prospective Internship Site Information Form Organization Information Organization Name _______________________________________________ The exact nature of the organization: ______________________________ ______________________________________________________________ Owner/CEO/Manager: ___________________________________________ Company Address ______________________________________________ City __________________________State _______________ Zip_________ Web URL of Company: ________________________ Owner/CEO/Manager Phone____________________________ Owner/CEO/Manager E-mail ____________________________ Internship Supervisor Information Supervisor: ____________________________________________________ Supervisor Phone:______________________________________________ Supervisor E-mail: ______________________________________________ (Please add an additional page if more than one supervisor is going to be considered.) Note: A resume, bio or LinkedIn Profile URL must be attached for each supervisor. (It is important that we see the supervisor’s(s’) work history to demonstrate his/her/they expertise/credentials in the professional area.) Page 3 of 4 To Be Completed by Internship Supervisor Department of Communication As a prospective internship site for communication majors at the University of North Florida, I understand the organization’s responsibilities listed below: Please initial: ______ I understand a copy of the supervisor’s(s’) resume/bio or LinkedIn Profile URL must be attached to this form. (Must demonstrate supervisor’s(s’) expertise/credentials in the professional area.) ______ I will attach a one-paragraph description of the organization along with a letter of intent on my company letterhead with my original signature for each student intern position. This letter will officially offer the internship to the student and must include a bulleted, detailed job description of the intern duties. ______ I understand the email address Commstu1@unf.edu must be recognized as a legitimate email and removed from our organization’s spam filters. This email is the official address for all correspondence from the Department of Communication. ______ Prior to hiring interns for my organization, formal interviews will be conducted with prospective communication interns, making the application process as similar to a job hire as possible. ______ I understand that all communication interns are only required to work 210 hours within my organization and that these hours may be completed prior to the end of the semester. ______ I understand the company must have a designated office/place where the intern will work unless exempted from this rule by the UNF internship coordinators. ______ I agree to provide the intern(s) with meaningful, professionally related tasks. ______ I agree to provide adequate supervision of interns and explanation of tasks. ______ I agree to meet at least weekly with my intern(s). ______ I agree to complete mid-term and final evaluations on all student interns, meet with the interns to discuss these evaluations, and submit these forms to the Department of Communication when required. ______ I understand that interns are required to create an ePortfolio and will ensure that any communication interns within my program will be assigned professional work appropriate to be displayed on their ePortfolio. Please continue to the next page. Page 4 of 4 Department of Communication ______ I understand that if an intern’s supervisor changes during the semester, my organization will provide the Department of Communication with the new supervisor’s name, resume/bio, or LinkedIn Profile URL and contact information. ______I understand that I will provide students with networking opportunities to meet professionals in their field. ______ I understand according to the Fair Labor Standards Act by the U.S. Department of Labor, an intern cannot be used in place of a permanent employee. ______ I understand that I will contact the UNF internship supervisors regarding issues involving the intern or his/her relationship with the organization’s co-workers. (Including incidences of sexual harassment and discrimination.) ______ I agree to assist the UNF Department of Communication when possible by having an organization representative available for the department internship career fairs and in-class presentations if requested. ______ I understand if there is more than one UNF communication intern at my company, an internship coordinator may need to be selected to coordinate communication between my organization and UNF. ______ I acknowledge that failure to comply with any of the above provisions may result in the removal of the intern(s) from the site and the removal of the organization’s pre-approved status. I understand the above requirements and request to be an official site for UNF’s Department of Communication internship program. It is also our understanding that this agreement for internship can be terminated at any time. _____________________________________ (Print) Internship Supervisor _____________________________________ Signature __________________ Date _____________________________________ (Print) Organization Owner/CEO/Manager If different from site supervisor/coordinator _____________________________________ Signature ___________________ Date New Site Application Form.doc