Master of Arts in International Studies (MAIS) Program INTERNSHIP AGREEMENT Student Name: _____________________________________________________________________ Name of Organization: ______________________________________________________________ Phone: ___________________________ Website: ________________________________________ City: ______________________________

Organization Supervisor: _____________________________________________________________ Title: ________________________________________________________________________________ Phone: ___________________________________ Email: ___________________________________

Internship Title: ______________________________________________________________________ Start Date: ___________________________

End Date: _____________________________

Check here if this internship requires travel Please list the locations outside the U.S. the student will be traveling: Note: If the fieldwork or internship will take place in a country where the U.S. Department of State, Bureau of Consular Affairs has issued a Travel Warning, the location may not be approved at the discretion of the Academic Director, in consultation with the Provost and Vice Provost for Academic Affairs.

I agree to complete the proposed internship in a professional manner under the supervisor of the Organization Supervisor to fulfill the requirements of the internship. ________________________________ Student Signature

____________________________ Date

I agree to supervise, guide learning, and evaluate the proposed internship of the student in a professional manner to help achieve the requirements of the internship. ________________________________

____________________________

________________________________

____________________________

MAIS Academic Director Signature

Date

Organization Supervisor Signature

Date

Following the internship, the program will distribute a brief questionnaire via email to obtain feedback. Both the student and the organization supervisor are encouraged to contact the program office for any reason related to the internship. Master of Arts in International Studies (MAIS) Program University of San Francisco 2130 Fulton Street, KA 333 San Francisco, CA 94117 www.usfca.edu/mais [email protected] (415) 422-5541

Summary of Student’s Duties and Training:

(You may include a separate sheet for your description)

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

Internship Agreement Form 2016-1.pdf

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