NORTHAMPTON HIGH SCHOOL INTERNSHIP CONTRACT Name_________________________________________________ Grade_______ Guidance Counselor_________________________ Date____________ Internship site/organization________________________________________________ Internship mentor________________________________________________________ Address________________________________________________________________ Phone #_________________________ Fax #__________________________________ Job Title: __________________________________________ Describe the internship on page 2 of this contract. Be as specific as possible. Include the following information: 1. Objectives of the project 2. Activities to be undertaken 3. Requirements. APPROVAL SIGNATURES: STUDENT: I understand that this Internship constitutes a contract, is the equivalent of a course, and that all of the obligation associated with a regular departmental course apply to this agreement. I will hand in a time sheet each week and monthly evaluation forms on the last day of each month. I will also write a reflection paper at the end of the semester. _______________________________________
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GUIDANCE COUNSELOR: I have reviewed this student’s schedule for the semester, and I agree that this internship is consistent with the requirements of his/her overall program. ______________________________________
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PARENT: I give permission for my daughter/son to pursue this internship, and, if necessary, to leave school to accomplish the objectives. ______________________________________
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MENTOR: I agree to reporting attendance to NHS weekly, evaluations of student progress, providing appropriate tasks and direction for student success and cooperating with the internship coordinator as needed. ______________________________________
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PRINCIPAL’S APPROVAL ____________________________
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NHS INTERNSHIP CONTRACT – page 2 DESCRIBE THIS PROJECT IN DETAIL. BE AS SPECIFIC AS POSSIBLE. Semester:
Period/days:
Credits: 1. Objectives of the project:
2. Activities to be undertaken:
3. Requirements: A. Weekly Time Sheets B. Monthly Evaluations C. Reflection Paper • •
To receive a passing grade all of the above requirements must be completed. Regular attendance requirements as per course catalogue are also necessary for internships.
INTERNSHIP COORDINATOR: ______________________________ ________ date