INTERN DATA SHEET
Employer Data
Company .
Address .
Street . City . State . Zip . Telephone No.
Supervisor . Title . Student Data
Name . * . Address . * . Street . City . State . Zip . . Telephone . . 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 . . . . . . . APPROVED BY: 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.):__________________________________________
__________________________________________________________________________________
Date: Department Chair Signature:
Date: Student Signature:
Employer Agreement
Intership in Meetings and Destination Management
Northeastern State UniversityIntern 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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