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Internship Learning and Participation Agreement This agreement must be completed and approved by all parties before registration can be completed. Student must be registered for the internship by the 10th day of class. Please submit completed form to the Carson College of Business Internship Coordinator:

Carson College of Business, WSU Vancouver, VCLS 308 | 360-546-9750 | van.ccbconnect@wsu.edu

Student Information

Student Name:

Address:

Street City State Zip Code

Phone: Email:

Have you completed at least one semester as a certified Carson College of Business student? □ Yes □ No

Is your Carson College of Business GPA 2.5 or higher? □ Yes □ No

WSU ID: Major: Anticipated Graduation Date:

Please identify 3-5 learning goals for professional development or classroom application activities to accomplish during the internship.

1.

2.

3.

4.

5.

Employer Information

Contact Name: Company/ Agency

Phone Email:

Address:

Street City State Zip Code

Internship Title:

Expected hours per week: Start date: Closing date:

Faculty Sponsor/Advisor Information

Faculty Sponsor :

Course Number: Semester/Credit:

Academic Coordinator:

Herein are listed the responsibilities of each individual or agency participating in the WSU Vancouver Carson College of Business Internship Program. STUDENT agrees to:

1. Have a Carson College of Business GPA of 2.5 or higher prior to beginning internship and have

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completed at least one semester as a certified Carson College of Business student. 2. Complete a current and accurate Learning and Participation Agreement. 3. Conform to policies and regulations as set by WSU and the employer for whom the student is

working. 4. Follow code of ethics and professionalism as outlined online in “Professional Responsibilities of

Student Internship Program.” 5. Fulfill the terms of the Learning and Participation Agreement. 6. Sign a Release of Liability Statement form. 7. Commit to providing quality work for agencies or businesses served. 8. Complete Student Evaluation form and provide employer with Final Employer Evaluation form. 9. Submit the following materials by the 15th week of semester (Friday of dead week):

a. Logged internship hours worked toward each learning goal. b. A description of the position and how learning goals were met.

WSU VANCOUVER CARSON COLLEGE OF BUSINESS agrees to: 1. Work with businesses and faculty to provide appropriate training and learning opportunities for

student internships. 2. Provide posting board for potential internship positions.

EMPLOYER Mentor/Supervisor agrees to: 1. Provide training specific to agency needs and policies. 2. Provide supervision to:

a. Apprise the intern of duties and professional responsibilities. b. Be a contact person between business, the internship coordinator and the student intern. c. Act as a mentor to the student, provide instruction, feedback, learning opportunities, and

avenues for problem solving. 3. Carry adequate insurance attendant to the risk involved in the agency activity. 4. When payments are made, comply with the Fair Labor Standards Act and the Internal Revenue

Service tax code. 5. Either report any Worker’s Compensation-related time loss hours to the Department of Labor and

Industry or cover the student with medical insurance. 6. Not expose the intern to any unusual hazards and to make explicit any risks related to the

particular placement so that the student can knowledgeably agree to participate. 7. Respond to Carson College of Business internship coordinator’s mid-semester evaluation request

to report progress of intern. 8. Submit final employer internship evaluation form by the 15th week of semester (Friday of dead

week).

ALL PARTIES agree to: 1. Comply with all state and federal nondiscrimination laws, regulations and policies. 2. Work as a team to resolve issues regarding student placement and performance. 3. In the event that any individual or business violates the terms of this agreement, the student, the

internship coordinator, or the business reserves the right to withdraw from the internship.

Signatures

Student: Date:

Academic Coordinator: Date:

Faculty Sponsor: Date:

Employer: Date: