Northern Illinois University

Department of Counseling and Higher Education

815-753-1448
HESA 586-Internship Approval Form

Name: ____________________________________________________
Fernando Gonzalez ZID#: Z1638722
__________________________
Telephone: ________________________________
773.273.1432 E-mail:_________________________________________
z1638722@students.niu.edu
_________________________________________

The following institution has agreed to accept the Intern and provide adequate supervision:

Name of Institution: Northern

_____________________________________________________________________
Illinois University
Office to Host Internship: Undocumented
______________________________________________________________
Student Resource Centerrt
Address: _________________________________________________________________________________
Room 230 Campus Life Buliding DeKalb IL
Street City State Zip

Internship Supervisor Name: Sandy

_________________________________________________________________
López
Internship Supervisor Title:___________________________________________________________________
Director of Undocumented Student Resource Center
Related Master’s Degree:____________________________________________________________________
Instructional Technology M.A., Ph.D. student in Educational Adminstration Foundations
Years of Professional Experience:_____________________________________________________________
30
Telephone: _______________________________
630.947.2486 E-mail:_________________________________________________
slopez1@niu.edu
(Internship Supervisor must have higher education, counseling or related master’s degree and at least two years of
professional experience.)
03/21/23 M/W/Th 10/week
Approximate dates of internship: 01/03/23
______________ ______________ ______________ ______________
Start Date End Date #day/week #hours/day(s)
N/A
Intern salary or remuneration (as appropriate): $___________________________________________________
The internship will be for 3
______ graduate hours of credit with approximately 128
__________ work hours spent in the
internship situation (120 hours involvement = 3 credit hours).

Goals/Purpose of the Internship (To be completed by intern):

Ability to stay informed of the rapidly evolving legal and political immigration landscape.
- Demonstrates knowledge of the undocumented and mixed family status student issues through programming, resource management and other professional activities.
- Support the planning, development, implementation, and assessment of programs and services offered by the University that serve our undocumented student population.
- Demonstrates knowledge of student development theory, multicultural identity development, leadership development, group dynamics and management theory and proven ability to
apply information in decision making and problem solving.
- Expertise in developing collaborative working relationship with other campus departments for the UndocuJoy events with specific attention to student affairs programming units and
ethnic studies academic departments, knowledge of programs which enhance and integrate the relationship between academic and student affairs.
- Knowledge in best practices in for undocumented students in identity and student development, retention, academic achievement, and emerging campus climate issues.
- Strong working knowledge of free speech issues on college campuses, and ability to support students appropriately as they grapple through issues in this area.
- Learn how to support the Undocumented Student Resource Center in its development and improvement of mental health resources and programming.
- Support students who qualify for the Alternative Application (Rise Act) with the Undocumented Student Resource Center. Access ISAC’s site and resources to aggregate best tips and
information.

The HESA586 internship must be in the area of higher education and student affairs related field. Upon approval
of the internship, the intern and field supervisor by mutual agreement will establish learning objectives and
activities for the internship that will be required as part of the internship course assignments to be due two weeks
into the semester. The intern and supervisor agree to follow all the guidelines for internship as listed on the information
sheets.

____________________________________________ _______________________________________
12/8/2022 12/07/22
Intern Date Internship Supervisor Date

____________________________________________
NIU Academic Counselor Date
Note: This agreement indicates the desire of the intern and the field supervisor to cooperate with Northern Illinois University in the development of a profitable
internship. It does not constitute a contract between Northern Illinois University and other organizations.