New Site Application Form For Prospective Internship

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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
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