Graphic Communications Internship

Proposal / Agreement

This form to be filled out by the student and submitted to the Faculty member shown below. Copies of this cover sheet and attachments (constituted as the Proposal / Agreement) will be given to the student and employer after the Outcomes (listed on page 2) have been approved by the faculty advisor. (This internship is in fulfillment of requirements for GRC 290.)

Name: ___________________________________________________   Phone: __________________________________

Major (Emphasis): __________________________________________   email: ___________________________________

Company Name: ______________________________________________________________________________________

Department: ________________________________________________  Phone: ___________________________________

Contact Person: _____________________________________________  Phone: ___________________________________

Title: ____________________________________________ email:   _____________________________________________

Name:  ____________________________________________________  Phone: ___________________________________

Office: _________________ Mail Stop: _______________ email: _________________________________________________

Beginning Date________________________    Ending Date ________________________  Hours / Week _______________

Work Schedule (days and times) ____________________________________   Total Hours to Be Worked _______________

Work Location ___________________________________________________  Credits to Be Earned (75 hours / credit) ________
 

Attached:      [  ]   Letter of Support   (signed by Employer)      [  ]   Student's Proposed  Outcomes   (signed by Student, Employer)
 

Community College of Southern Nevada • Computer Graphics Program • 3200 E. Cheyenne Ave. N1B • 651-4121 (office) • 651-4073 (fax)

Proposal / Agreement • Page 1

The student may use this page to list those outcomes he/she proposes to accomplish with this internship. This page should be attached—along with the Employer's Letter of Support—to the Internship Proposal / Agreement cover sheet (Page 1). Outcomes are a list of items that the student should be able to do or accomplish during the internship. The Faculty Advisor and the Employer (Supervisor) must both sign off on these.

Student:__________________________________________________  

Employer:_________________________________________________   

Faculty:__________________________________________________   

Date: ____________________________

Date: ____________________________

Date: ____________________________

Community College of Southern Nevada • Computer Graphics Program • 3200 E. Cheyenne Ave. N1B • 651-4121 (office) • 651-4073 (fax)

Proposal / Agreement • Page 2