STUDENT APPLICATION FORM for a SDSU Economics Internship INSTRUCTIONS: (1) The student is to fill out this sheet, and schedule a meeting to discuss the internship with the Internship Coordinator (Economics Dept., 108 Scobey Hall, 688-4141) prior to registering. (2) The student must have written permission from the Internship Coordinator in order to register. (3) South Dakota State University requires that student must be registered for ECON 494, AGEC494, ACCT494 or ENTR494 – Internship, while performing the internship. (4) The student must present the "EMPLOYER FORM for an Economics Internship" to his or her Site Supervisor. The student is responsible to make sure this EMPLOYER FORM is returned to the internship coordinator within the first two weeks of the internship period. The EMPLOYER FORM contains the "Internship Plan" (the internship goals and objectives) which is the basis for the BIWEEKLY MEMOS and FINAL PAPER. Name: Advisor: Present Mailing Address: Permanent Mailing Address: Phone: Phone: Email Address: How many credits have you earned toward graduation? Credits How many Internship credits are you applying for? (See Student Handbook) Starting Date of Internship: Ending date of Internship: Name of the firm: Name of Site Supervisor: Mailing Address of the firm: Supervisor's Address (if different): Phone: Phone: Fax: GPA: Credits Fax: Please list the duties and responsibilities of the upcoming internship. Have you formalized the "internship plan" with your supervisor at this time? The Intern Applicant agrees to Internship Requirements and Student Requirements as stated in the Internship Handbook and as reproduced below. The Intern Applicant understands and agrees that the grade for this internship will be determined by the Internship Coordinator based upon the bi-weekly progress report memos, the final paper, and the Site Supervisor's evaluation. The Intern Applicant also understands that she or he assumes any liability for her or his actions and potential risks to her or himself by accepting this position, that SDSU does not assume liability for any injury or damages sustained by the Intern, and that there is no coverage by the university's insurance policies for any damages sustained by the internship site as a result of the Intern's conduct. Signature of Intern Applicant Date SUMMARY OF REQUIREMENTS AND RESPONSIBILITIES Internship Requirements The internship experience must be applicable to the Economics, Business, Accounting, Agricultural Business, Entrepreneurship or Agricultural Economics fields of study. The experience must be a professionally conducted internship. There must be an academic, intellectual activity associated with the internship. Student Responsibilities The Intern must complete the STUDENT APPLICATION FORM for a SDSU Economics Internship and have it approved prior to enrolling in an internship course ECON494, AGEC494, ACCT494, or ENTR494. The Intern must present the employer with the EMPLOYER FORM for a SDSU Economics Internship to be completed and returned to the Internship Coordinator within the first two weeks of the internship. It is important that the student retains a copy of this form and uses it as a reference in completing the biweekly memos and the final paper. The Intern must be enrolled in an Internship course while performing the internship. The Intern must submit biweekly progress memos to the Internship Coordinator by mail, email, fax, or hand delivery. The Intern must submit a final paper at the conclusion of the internship experience. The Intern must be willing to work hard and complete the duties, goals and objectives established at the beginning of the internship. The Intern must conduct him or herself in a professional manner and must act ethically and responsibly in accordance with the standard set forth by the employer. Employer Responsibilities The Employer must make the student aware of any potential risks inherent to working at the internship site. The Site Supervisor must establish an INTERNSHIP PLAN as part of the EMPLOYER FORM for a SDSU Economics Internship. This must be completed and returned to the Internship Coordinator no later than two weeks following the start of the internship period. The Site Supervisor is required to complete the SITE SUPERVISOR EVALUATION OF STUDENT PERFORMANCE. The Site Supervisor is encouraged to review this with the student as part of exit interview/evaluation. The Intern must be provided with employment during the internship period as long as the employment criteria are being met. The Intern must be provided with the opportunity to become an integral part of the daily activities of the company. The Site Supervisor must notify the Internship Coordinator if the student's performance presents any problems in the completion of the internship plan and/or the effectiveness of the firm's goals and objectives. The Site Supervisor must be willing to guide and assist the intern in the successful completion of the internship plan. The review of the biweekly progress memos is an encouraged part of this process. The employer must make the Intern aware of the professional and ethical standards regarding their position in the company.