University of South Carolina Spartanburg
University of South Carolina Upstate Johnson College of Business and Economics
Internship Contract/Field Experience BADM 499
Student Information: (PLEASE TYPE OR PRINT CLEARLY)
Student's Name:___________________________________________________
Last
M.I.
First
Major____________
Student Number: ___________________
Cumulative GPA*: ___________
Phone Number: ___________________________
Course Department:___________________ Number: ________________ Credit Hours:_______
Course Title: _____________________________________ Term: _________________Year: _____________
Instructor:_________________________________ Academic Unit:_____________________
This section to be completed by employer internship supervisor: Company/Organization Name and Address:
On-Site Supervisor: Name: _______________________ Title:____________ Email:___________________Phone: ___________ Internship Start Date: ________________ End Date: _____________ #hours/week: _____________
Description: include conditions, duties, schedule (i.e. days/hrs./week) Please use additional sheet if needed
Method of evaluation student will be measured by:
To be completed by Internship Faculty Instructor and student: Course Objectives: new skills or information the student will acquire
_________________________________________________________________________________________________________________ *generally 42-45 contact hours is equivalent to a semester hour
Required signatures:
________________________________
Student's Signature**
Date
________________________________
Internship Supervisor Signature
Date
_____________________________________
Supervising Instructor
Date
_____________________________________
Signature of the Dean of instructor's academic unit Date
**By signing above, the student understands that he or she cannot register for another course while waiting on approval for
BADM-499 and drop the other course if the internship is approved. If the student drops any course after the withdrawal date, it will result in a "W" on their transcript.
Take the completed form, with all signatures to the Records Office to be registered for the course.
Records Office:
Date registered:
Copies: records, student, instructors, advisor, chair, dean of academic unit
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