North Carolina Wesleyan College

Learning Contract

(To be completed by student and supervisor in first week of internship)

 

 
 

Student______________________________________



Local address_________________________________

____________________________________________

____________________________________________

Employer____________________________________

Employer Address_____________________________

____________________________________________

____________________________________________

Job Title_____________________________________
 

Student I.D. Number_________________________

Major__________________________

Phone__________________________

Term_________________Year______

Supervising
Faculty Member________________________

Supervisor at
Intern Site_______________________

Site Supv Phone _________________

Work Period: From___/___/___


To ___/___/___
Job Description_________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

(Attach a separate sheet if needed.)

 

 

learning objectives

(Describe at least four objectives.)

evaluation methods

(Journal, interview, short papers, annotated bibliography, final paper, etc.)

1.




2.




3.




4.

 

 

 

 
1.




2.




3.




4.

Please describe all additional required readings and/or assignments.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________


Faculty signature:_____________________________________

Print/Type Faculty Name_______________________________
Date:____________

Student Signature_____________________________________

Print/Type Student Name_______________________________
Date:___________


Site Supervisor Signature_______________________________

Print/Type Supervisor Name_____________________________
Date:___________

 


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Last updated: 01/03/2006