INTERNSHIP CONTRACT

Student Name:

Batch

Faculty Coordinator:
Internship Agency:
Address:
Phone Number
Pay status

Paid Employee

Salary

Experience only, no pay

Period of Internship with this agency
Starting Date

Ending Date

Schedule of Work (hours per day and days working)

Name of agency supervisor and title:

Agreement Clause:
I hereby certify that I have read the terms and requirements of Internship as
mentioned in the internship manual. The learning plans of the intern are attached
herewith and I agree to fulfill my duties and responsibilities required by the
program.
Signatures: This contract is to be signed and dated by the student, agency
supervisor and faculty advisor/coordinator.
Intern:

Date:

Agency Supervisor:

Date:

Faculty Coordinator:

Date: