Be sure to turn in a resume and a cover letter for your current position with this Intern Data Sheet.
 INTERN DATA SHEET
 Employer Data

Company       .
 
Address    .
 
Street       . City        .
State       .  Zip       .
Telephone No.  
 
Supervisor       .   Title          .

Student Data


Name
 .
*
 .
Address
 .
*
 .
 Street 
City
 .
   State 
 .
Zip
  . .
Telephone
 .
e-mail
 .
Job Title
 .
*
 .
Job Description
 .
*
 .
Beginning and Ending Dates of work
 .
*
 .
Salary or wages
.
*
.
Work schedule 
(circle appropriate days)
 M
T
W
TH
F
SAT
SUN
Hours
.
.
.
.
.
.
.

You are required to submit current copies of your insurance verification and drivers license
Course No. (circle one)  MDM 4431   MDM 4432    MDM 4433
Courses completed in Major (give course Nos.):__________________________________________
__________________________________________________________________________________

APPROVED BY:
Date:
Department Chair Signature:
Date:
Student Signature:



 
 

Employer Agreement
Intership in Meetings and Destination Management
Northeastern State University

Intern Employer ______________________________________________________
                         Company
Address ____________________________________________________________
                 Street                        City                            State                    Zip
Supervisor ____________________________________________ Telephone______________________
                  Name                                         Title


Name of Intern _______________________________________________________________
                                Last                                        First                                        Middle
Address ___________________________________________________________________
                        Street                                                City                                                State                                 Zip



1. The intern is to be placed in a approppriate employment situation which provides an opportunity to apply knowledge and skill acquired in Meetings and Destination Management coursework.
2. The employment situation should provide a variety of experiences and challenges.
3. The employment arrangement should be mutually beneficial to the employer and the intern.  The intern should receive  sufficient training to enable him/her to adjust rapidly and become a productive employee.
4. The work experience requirement  for this program is approximately _________ working hours.
5. The intern supervisor will make a personal or telephone visitation at least once during a semester.
6. The supervisor will be asked to evaluate the intern at the mid-point  and end of the internship period.  The evaluation will be used to determine the final grade.
7. If there are any problems with the internship or the work habits of the intern, the NSU Intern Coordinator will be contacted.

Internship start date: ___________ End date: _________ Wages: ____________ per ______

Employer Representative _______________________________________________________________
                                        Name                                                                    Title
NSU Coordinator ____________________________________
                                  Kin Thompson
Student ___________________________________________________


Mr. Kin Thompson
Program Coordinator, Meetings and Destination Management
918-456-5511 Ext. 3087  -  Fax 918-458-2337
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