CBI Learning Contract CBI Learning Contract Must be completed by July 5, 2024. For questions please contact Felicia Ford at Felicia.Ford@kzoo.edu CBI Basic InformationStudent Intern's Name * Required First Last Student Intern's K College Email * Required Best phone number to reach the Student Intern this summer * RequiredSupervisor's Name * Required First Last Supervisor's Email * Required Organization Name * RequiredInternship Start Date * Required MM slash DD slash YYYY Internship should last a minimum of 6 weeks and a maximum of 8 weeks. However, the time frame is flexible as long as it meets the minimum requirement of 240 hours in total. Internship End Date * Required MM slash DD slash YYYY Internship should last a minimum of 6 weeks and a maximum of 8 weeks. However, the time frame is flexible as long as it meets the minimum requirement of 240 hours in total. Number of Hours Per Week * RequiredPlease enter a number from 20 to 40.The total number of hours for the internship should be 240 hours. Total Hours for Internship * RequiredPlease enter a number from 240 to 280.The total number of hours for the internship should be 240 hours. Brief Description of Student's Duties * Required0 of 1000 max charactersPlease share the expected frequency of student and supervisor meetings. * RequiredRegularly scheduled meetings between the intern and supervisor are vital. These will ensure goals are met and the internship is a successful experience for all. We strongly recommend having weekly meetings.Student and Supervisor Internship ExpectationsThis is for you and your supervisor to do together. We encourage you both to keep checking in with one another through the duration of the internship to ensure these goals are met. What are the supervisor's expectations for the internship? * Required0 of 1000 max charactersWhat is the student intern hoping to learn this summer:This field is hidden when viewing the formPersonally? * Required0 of 1000 max charactersProfessionally? * Required0 of 1000 max charactersCivically? * Required0 of 1000 max charactersDisciplinary? (Related to your major or areas of study) * Required0 of 1000 max charactersRelated to your (intended) major or area of studyStudent and Supervisor Internship GoalsThis is for the student and supervisor to do together. We encourage you both to keep checking in with one another through the duration of the internship to ensure these goals are met. Student Goal #1 * Required0 of 1000 max charactersPlease be specific! Student Goal #2 * Required0 of 1000 max charactersPlease be specific!Supervisor Goal #1 * Required0 of 1000 max charactersSupervisor Goal #2 * Required0 of 1000 max charactersMutual Student Intern and Supervisor Goal * Required0 of 1000 max charactersElectronic Signature from both Student and SupervisorStudent Intern's Consent * Required I agree to statement belowBy signing below, the Student Community Building Intern and Intern Supervisor both agree and commit to the specified expectations of each in this work experience, agree to support each other’s work goals and learning outcomes. They agree to sustain frequent student/supervisor meetings through the internship duration. The student intern also agrees to be present at the weekly summer reflections hosted by the Center for Civic Engagement and complete reflection assignments as required. TYPED Student Intern SIGNATURE * RequiredThis Acknowledgement and Certification of Understanding is to let you know that by submitting an electronic signature, you are providing an electronic mark, that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you.Date Signed * Required MM slash DD slash YYYY Supervisor's Consent * Required I agree to the statement below.By signing below, the Student Community Building Intern and Intern Supervisor both agree and commit to the specified expectations of each in this work experience, agree to support each other’s work goals and learning outcomes. They agree to sustain frequent student/supervisor meetings through the internship duration. TYPED Supervisor SIGNATURE * RequiredThis Acknowledgement and Certification of Understanding is to let you know that by submitting an electronic signature, you are providing an electronic mark, that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you.Date Signed * Required MM slash DD slash YYYY Δ
