Supervisor's Signature Intern's Signature

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INTERN
Dear Intern:
Career Services is very happy that you're preparing yourself for a marketable future! This letter is designed to
help you establish your credit-based internship. You need to both register for credit with a Special Course
Approval/Registration Form and fill out a Learning Contract. Here are the steps that you are responsible
to initiate for your internship:
1. Complete a Learning Contract with your Site-Supervisor before you begin your internship. Discuss
with your work-site supervisor the learning objectives and the specific activities for which you will be
supervised.
2. Meet with your faculty advisor to get a permission slip to register for credit. Make an appointment
with the internship faculty advisor in your academic department (see page 2). Discuss the objectives and
activities on the Learning Contract so your advisor will understand the structure of your learning
experience. Your advisor will determine an appropriate assignment for you to complete, the number of
credits to issue and will give you a signed permission slip to register. You cannot register for an internship
through EagleNet! Upon approval, transfer your registration information onto the Learning Contract. Sign
the Learning Contract and have your work-site supervisor and your internship faculty advisor sign as well
before returning it to the Internship Office.
3. Participate in a midterm (4th week) and final (8th week) evaluation with your work-site supervisor.
Make sure your supervisor completes the evaluations and returns them at the required time. (see below)
4. Fill out a site evaluation upon completion of your internship. Your feedback is valuable to insure
students continue to have quality internship experiences.
In addition to your faculty internship advisor, I am your main internship contact. If you are looking for general
career advising, it is important to understand that each college has its own career advisor assigned to them,
for specific career questions:
Romeal Watson, College of Social & Behavioral Sciences & Social Work, Rjwatson@ewu.edu, 359-4637
Shannon Turner, College of Business and Public Administration, Shannon.turner@ewu.edu, 359-6417
Ryan Weldon, College of Arts, Letters, and Education, Rweldon@ewu.edu, 359-2221
Deadlines for the 2015-2016 School Year
* = Late Registration fees
may apply after this date.
Fall Quarter 2015
Learning Contract - 10-6-15*
Midterm Evaluation - 10-23-15
Final Evaluation - 11-28-15
Site Evaluation - end of quarter
Winter Quarter 2016
Learning Contract - 1-15-16*
Midterm Evaluation - 2-5-16
Final Evaluation - 3-5-16
Site Evaluation - end of quarter
Spring Quarter 2016
Learning Contract - 4-8-16*
Midterm Evaluation - 4-25-16
Final Evaluation - 5-28-16
Site Evaluation - end of quarter
Summer Quarter 2016
Learning Contract - 7-1-16*
Midterm Evaluation - 7-22-16
Final Evaluation - 8-13-16
Site Evaluation - end of quarter
1
Romeal Watson | Internship Coordinator
EWU Career Services
114 Showalter Hall Cheney, WA 99004-2444 509.359.4637
rjwatson@ewu.edu, www.ewu.edu/careerservices
509.359.6940 fax
Faculty Internship Advisor List
Department
Accounting (ACCT)
Anthropology (ANTH)
Art (ART)
Biology/Biotechnology (BIOL)
Chemistry (CHEM)
Children’s Studies
Bellevue Campus
Communication Studies (CMST)
Computer Science/CIS (CSHE)
Counseling, Ed, Dev. Psyc. (CEDP)
Criminal Justice/Sociology
Sociology
Economics (ECON)
Electronic Media and Film
English, Creative Writing (ENGL)
Tech Comm. (TCOM)
Journalism (JRNM)
Literature
Exercise Science (EXSC 488)
Management (MGMT) Operations Management (OPSM)
Marketing (MKTG) Human Resources (HUMR)
Finance (FINC)
Bellevue Campus
Geography (GEOG)
Geology (GEOL)
Government (GOVT)
Health Education (HLED)
Health Services Admin (HSAD)
History (HIST)
Honors (HNRS)
Interdisciplinary Studies (ITDS)
International Affairs (INST)
Mgt. Info. Sys. (MISC)
Philosophy
Planning (PLAN)
Psychology (PSYC) Undeclared
Bellevue campus
Social Work
Technology (TECH)
Electrical Engineering (TECH)
Engineering Technology (TECH)
Mechanical Engineering & ME Technology (MENG),
(METC)
Visual Communication Design (DESN)
Women and Gender Studies
Faculty
Email
Phone/Fax
Address
Susan Megaard
Michael Zukosky
Elisa Nappa
Lisa Williams
Ken Raymond
Peter Bilous
Robin McRae
Deanna Trella
Barbara Culler
Jeff Stafford
Stu Steiner
Ginny Mehlert
Dale Lindekugel
Kerryn Bell
John Goldman
Scott Mathers
Sean Chabot
Nate Greene
Chase Ogden
Logan Greene
Teena Carnegie
Jamie Tobias Neely
Chris Valeo
Wendy Repovich
Nathaniel Lawton
Jeni McNeal
Alan Coelho
Larry Davis
smegaard@ewu.edu;
mzukosky@ewu.edu;
enappa@ewu.edu;
lwilliams@ewu.edu;
kraymond@ewu.edu;
pbilous@ewu.edu;
rmcrae@ewu.edu;
dtrella@ewu.edu;
bculler@ewu.edu;
jstafford@ewu.edu;
ssteiner@ewu.edu;
vmehlert@ewu.edu;
dlindekugel@ewu.edu;
kbell@ewu.edu;
jgoldman@ewu.edu;
smathers@ewu.edu;
schabot@ewu.edu;
ngreene@ewu.edu;
cogden2@ewu.edu;
lgreene@ewu.edu;
tcarnegie@ewu.edu;
jneely@ewu.edu;
cvaleo@ewu.edu;
wrepovich@ewu.edu;
nlawton@ewu.edu;
jmcneal@ewu.edu;
acoelho@ewu.edu;
Lndavis29@comcast.net;
828-1257---828-1275
359-6229---359-2474
359-7089---359-7810
359-7499---359-6867
359-6520---359-6973
359-7935---359-6973
359-2798---359-6973
359-4828---359-6583
(425) 564-5104
359.7929---359-2496
359-4296---359-2215
359-4844---359-4366
359-2489---359-6583
359-6921---359-6583
359-7876---359-6583
359-4560---359-6583
359-6239---359-6583
359-2332
359-6135---359-4841
359-2400---359-6206
359-2869---359-6206
359-7056---359-6206
3RPT
103 ISL
140 ART
258 SCI
226 SCI
226 SCI
226 SCI
PAT 311T
House 1
117 COM
CEB 319F
135 MAR
311R PAT
311Q PAT
311P PAT
311O PAT
329 PAT
311E PAT
104 RTV
203P PAT
211C PAT
211F PAT
359-7960---359-4833
359-2508---359-4833
359-2872---359-4833
359-4328--828-1265---828-1275
200 PEB
200 PEB
200 PEB
251 PAT
RPT 3
Dr. Tam Limpaphayom
wlimpaphayom@ewu.edu;
(425) 564-5101
House 1
dturbeville@ewu.edu;
jthomson@ewu.edu;
kpirch@ewu.edu;
Smount2@ewu.edu;
vcooney@ewu.edu;
lcebula@ewu.edu;
delder@ewu.edu;
jneace@ewu.edu;
kedquist@ewu.edu;
vcooney@ewu.edu;
ckirby@ewu.edu;
gdohrn@ewu.edu;
Danderson2@ewu.edu;
kislamzwart@ewu.edu;
kstansbury@ewu.edu;
jdonnerberg@ewu.edu;
tgeyer@ewu.edu;
Esteban Rodriguez-Marek erodriguezma@ewu.edu;
Don Richter
drichter@ewu.edu;
Jason Durfee
jdurfee@ewu.edu;
359-2270---359-4632
359-7478---359-4386
359.2413 --- 359.6049
359-4308---359-4833
828-1254---828-1275
359-6079---359-4275
359-6305---359-2823
359-6524---359-2220
359-7460---359-6049
828-1254---828-1275
359-6503---359-2860
---358-2267
359-2087---359-6325
(425) 564-5101
359-4538---359-6475
359-7016---359-6420
359.4774---359-6420
359-7004---359-6420
359-2880---359-6420
359.4885---359-6420
103 ISL
130 SCI
233N PAT
232 PEB
3 RPT
103I PAT
217 HAR
300 SNR
233D PAT
3 RPT
229 PAT
3 RPT
151 MAR
House 1
208 SNR
319D CEB
Mindy Breen
Travis Masingale
Sally Winkle
Elizabeth Kissling
Jessica Willis
359-7002---359-6420
359-2437---359-6420
359-2409—359-2860
359-7389—359-2860
359-4382—359-2860
333 CEB
319 CEB
207 MON
207 MON
207 MON
Daniel Turbeville
Jennifer Thomson
Kevin Pirch
Sarah Mount
Vance Cooney
Larry Cebula
Dana Elder
John Neace
Kristen Edquist
Vance Cooney
Chris Kirby
Gregg Dohrn
Dennis Anderson
Kayleen Islam-Zwart
Kim Stansbury
Jeffrey Donnerberg
Terry Geyer
mbreen@ewu.edu;
tmasingale@ewu.edu;
swinkle@ewu.edu;
ekissling@ewu.edu;
jwillis6@ewu.edu;
319G CEB
319G CEB
329 CEB
2
6/11/15
EWU Career Services Internship Programs
Guidelines for Interns
Confidentiality
As an intern, you may find that your supervisor and co-workers trust you to
the extent that you will come in contact with “protected” information. The
EWU Career Services Internship Program wants to equip you with tools so
you will handle these situations in the most ethical manner. Familiarize
yourself with the workplace policies and procedures involving protected
information which include privacy and confidentiality:
Privacy: The right of individuals and businesses to hold information
about themselves in secret, free from the knowledge of others.
Confidentiality: The assurance that protected information about
business operations and products will not be disclosed without consent,
except as allowed by law.
Check with your employer for complete details on their policies and
procedures regarding computer files, passwords, paper shredding and
signature release of files.
Tips for Success
 Learn to listen properly to those around you; take the time to
comprehend fully and assimilate their requests or instructions.

Ask questions or research answers if you’re not sure so as not to proceed
in error.

Be prompt in getting reports or assignments finished.

Be professional in your interaction

Be professional in your interaction with your co-workers and supervisor.

Maintain a positive attitude with the less desirable tasks associated with
your job.

Avoid internal office politics.
3
OFFICIAL LEARNING
CONTRACT
Last name:
Student
Information
First:
Middle Initial:
Local address:
City:
State:
Zip:
Phone:
E-mail:
Student ID#:
Permanent address:
Zip:
Internship
Site
Phone:
Registration
Information
State:
Major/Minor:
Year: Fr So Jr Sr Grad Grad. date:
Agency name:
Intern title:
Supervisor name:
Supervisor title:
Address:
City:
Zip:
Stipend amount:
City:
Phone:
Compensation:
Fax:
Hourly wage
Course #:
Quarter receiving credit:
Fall
How did you find your internship?
Winter
Work-study
Number of credits:
Spring
Summer
Year:
Department:
Fax:
Address:
Start date:
Career Advisor
Training only
Section #:
Internship faculty advisor:
E-Mail:
E-mail:
Stipend
Course ID: Dept:
Phone:
State:
EagleAXIS
End date:
Personal Resources
Hours per week:
Faculty
Other______
Responsibilities: By signing the Learning Contract you assume the following responsibilities for your role:
Work-Site Supervisor



Help formulate the student’s learning objectives and activities.
With supervision and direction, help the student achieve the
learning objectives and specific activities.
Complete the midterm and final evaluation reports and return
them to the Internship Office on time.
Intern





Register for credit after obtaining approval and permission slip from
your internship faculty advisor.
Turn in your Learning Contract to the Internship Office before
beginning your internship.
If you are receiving a stipend, pick up a “Stipend Packet” and sign
and return all materials before beginning your internship.
Fulfill you learning Contract by successfully completing the tasks
and assignments set forth by your work-site supervisor and internship
faculty advisor.
Consult with your internship faculty advisor and the Internship
Office regarding changes or problems that arise during your
internship experience.
Internship Faculty Advisor




Approve the student’s learning objectives and discuss
applicability of academic theory to the internship experience.
Formulate the student’s progress documentation.
Assess the student’s learning based on predetermined
objectives and evaluation criteria; issue academic credit.
Provide telephone, mail, and site visit follow-up as needed
throughout the internship to provide guidance and support.
EWU Internship Program


Act as a liaison for the university, work-site, internship faculty
advisor and student to ensure the Learning Contract is
fulfilled.
If the student is paid through a Stipend Contract, disburse the
check to the student at the end of the quarter.
*Students not receiving compensation from their employer will be covered by basic
volunteer insurance. The insurance is activated when your Learning Contract is on
file with the Internship Office. If you have any questions concerning insurance, a
brochure is available from the Internship Office.*
4
Business or
Agency
Description
Provide a brief
description of your
work-site
Learning
Objectives
List the broad learning
objectives that you and your
work-site supervisor expect
you to achieve.
Learning
Activities
List the specific
Activities you will
participate in to achieve
your learning objectives.
Progress
Documentation
List your internship
faculty advisor’s
expectations to evaluate
your progress.
Your signature confirms that you have read and agreed to both sides of this contract.
Intern’s signature:
Date signed:
Employer’s signature:
Date signed:
Internship Faculty Advisor’s signature:
Date signed:
Intern Coordinator’s signature:
Date signed:
5
WORK-SITE SUPERVISOR
Dear Work-site Supervisor:
Thank you for your participation in the EWU Career Services Internship Program. The information
in this packet will help guide you through the different aspects of supervising an
EWU intern. However, it is your expertise and involvement that will help ensure
the intern’s successful experience. Please assist the intern in the following three
areas:
1.
Develop objectives and activities and record these on the
Learning Contract. Discuss with your intern the learning objectives for the
internship and specific activities, which you will oversee. We have provided the
intern with a rough draft of the Learning Contract to record this information
on. The intern will then discuss the structure of the internship with a faculty
advisor to gain approval. Once the objectives and activities have been agreed
upon, the intern will present you with an official Learning Contract for your
signature.
2.
Instruct and supervise the intern to achieve the learning
objectives. Help the intern feel like a member of your team. This can be
achieved by a comprehensive orientation. Tour the work-site with your intern
to identify locations such as rest rooms, parking, meeting rooms, etc. Introduce
the intern to co-workers and acquaint the intern with your policies and
procedures. Furnish the intern with a work station and the necessary supplies.
Be sure to provide the intern with a progression of assignments so the
objectives stated on the Learning Contract can be achieved.
3.
Evaluate the intern’s performance with a midterm (4th week) and
final (8th week) evaluation. We have included in this packet the midterm
(4th week) and final (8th week) evaluation forms with criteria based on the
SCANS skills and competencies from the US Dept. of Labor. You have the
option to use your own performance appraisals for these evaluations if you
choose to. All evaluations will be forwarded to the intern’s faculty advisor. This
may be the intern’s first exposure to a non-academic performance appraisal.
Some guidelines follow:
Midterm evaluation - By this point, you have had the opportunity to observe the
intern’s potential. On this form, indicate the intern’s strengths and
weaknesses. Meet with the intern to discuss your evaluation and mail or
fax it to the Internship Office by the end of the fourth week.
Final evaluation - During the eighth week, we ask you to rate the intern’s
accomplishment of specific skills and competencies that are needed in
workplaces dedicated to excellence. In filling out this form, evaluate all
the criteria that apply to the learning objectives and activities the intern
has achieved. Discuss the evaluation with the intern and mail or fax the
form to the Internship Office by the end of the eighth week.
We appreciate your commitment and dedication. Your involvement enables us to provide to our
students a well-rounded educational experience.
6
EWU Career Services Internship Programs
Internship Performance
Midterm Evaluation
4th Week
Student:
Quarter:
Work-site Supervisor:
Company:
Faculty Advisor:
Department:
This Midterm Evaluation is for the intern’s supervisor to discuss with the intern, complete, and return to the
Internship Office. The purpose is to identify the intern’s strengths and any areas needing improvement. Both the
midterm and final evaluation forms are based on the SCANS skills and competencies from the U.S. Department of
Labor. Please rate the intern in the following areas and fax or mail the completed form to EWU Career Services
Internship Programs by the end of the fourth week of the internship.
Please use the following rating system:
I.
Workplace Competencies
Resources:
Interpersonal:
Information:
Systems:
Technology:
II.
Manages time efficiently
Works independently or within a team as needed
Checks work for errors and produces quality work
Contributes valid suggestions
Applies technological skills
Foundational Skills
Basic Skills:
Thinking Skills:
Personal Qualities:
II.
4 = very good
3 = satisfactory
2 = needs improvement
1 = not applicable
Demonstrates reading, writing, mathematical operations, speaking and listening skills
Achieves objectives defined in the Learning Contract
Demonstrates responsibility, self-management, sociability and integrity
Overall Job Performance
Comment on the overall job performance and make any recommendations to better prepare the intern for his/her
chosen career.
I have discussed this evaluation with the intern.
Supervisor’s Signature
Intern’s Signature
Return evaluation to the Internship Office - by fax (509) 359-6940 or mail to: 114 Showalter Cheney, WA 99004-2443
7
EWU Career Services Internship Programs
Internship Performance
Final Evaluation
Student:
Quarter:
Work-site Supervisor:
Company:
Faculty Advisor:
Department:
The Final Evaluation is made up of twenty-one competencies and a three-part foundation of skills and personal qualities that are
needed for solid job performance as identified by the U.S. Department of Labor. Please rate the intern in as many of the
following areas that apply and fax or mail the completed form to EWU Career Services Internship Programs by the end of the
eighth week of the internship.
Please use the following rating system:
4=very good
3=satisfactory
2=needs improvement
1=not observed/not applicable
I. Workplace Competencies
Resources
Allocates time
Allocates money
Allocates material and facility resources
Allocates human resources
Interpersonal Skills
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
4
4
4
3
3
3
2
2
2
1
1
1
Participates as a team member
Negotiates to arrive at a decision
Works with diversity
Exercises leadership
Teaches others
Serves customers
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
Understands social, organization, and
technological systems
Monitors and corrects performance of
systems
Can design or improve systems
4
3
2
1
4
3
2
1
4
3
2
1
Information
Acquires and evaluates info
Organizes and maintains info
Interprets and communicates info
Uses computers to process info
Technology
Selects equipment and tools
Applies technology to specific tasks
Maintains and troubleshoots equipment
II. Foundational Skills
Basic Skills
Demonstrates competence in reading,
writing, arithmetic, speaking and listening
4
3
2
1
4
3
2
1
4
3
2
1
Systems
III. Overall Job Performance
Comment on the overall job performance. Mention any outstanding
qualities. Make any recommendation to better prepare the intern for
his/her chosen career (Use reverse side if needed).
Thinking Skills
Demonstrates ability to learn, to reason, to
think creatively, to make decisions, and to
solve problems.
Personal Qualities
Demonstrates individual responsibility,
self-management, sociability, and
integrity.
I have discussed this evaluation with the intern.
Supervisor’s Signature
Please check any of the following that apply:
Student is continuing internship next quarter.
Request advertisement of this as an available position.
Intern’s Signature
A different internship opportunity is available.
Request Internship Coordinator to contact me.

Great news! This intern will be hired as an employee of our organization.
8
Return evaluation to the Internship Office - By fax (509) 359-6940 or mail to: 114 Showalter Cheney, WA 99004-2443
EWU Career Services Internship Programs
Student Site Evaluation
Student:
Quarter:
Work-site Supervisor:
Company:
Faculty Advisor:
Department:
Please use the following rating system to answer the following questions:
4 = agree
3 = neutral
2 =disagree
1 = not applicable
I would rate the academic worth of my internship very highly.
The goals and objectives of my internship were sufficiently defined before my placement began.
The tasks I performed during my internship closely related to the activities I planned to undertake.
I was satisfied with the direction and motivation provided by my supervisor at the internship site.
The academic evaluation criteria established by my internship faculty advisor was fair and inclusive.
My internship was an excellent learning experience which will enhance my confidence.
We would appreciate your recommendations for improvement or enhancement of Career Services Internship Programs.
Do you have any comments you would like to make regarding your internship experience and how it has helped in your
career development?
We would like to be able to publish your positive comments regarding your internship experience in brochures for
employers and other students. Would you be willing to have your comments published?
YES/NO
Intern’s Signature
Return evaluation to EWU Career Services Internship Programs –
fax (509) 359-6940 or mail to: 114 Showalter Hall, Cheney, WA 99004-2443
9
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