Internship Agreement

Internship Agreement

This agreement serves as a contract for the internship between Mid Michigan College, the student, and the internship location business or organization.

Click Here to complete the Student Section.
Student Section

As the student, you agree to...
Enroll in the appropriate internship course at Mid Michigan College.*

Yes
Be assigned to the internship location and meet specific program objectives until the internship assignment has been completed in full.*

Yes
Complete Enter a whole number (40, 100, 250, etc.)* number of hours at the assigned internship location.
Report on time, as scheduled with the final schedule to be determined between myself and the worksite supervisor.*

Yes
Exhibit a professional work attitude and appearance.*

Yes
Notify the worksite supervisor and the Career Center Director when illness or circumstances beyond my control prevent my attendance.*

Yes
Submit the bi-weekly student time sheet to the Career Center Director as instructed.*

Yes
- I will not hold Mid Michigan College or the internship location liable for any injury, damage, loss, accident, or any other cause with reference to matters in this contract.
- Financial Responsibility for Potential Illness or Injury
  - Students are expected to assume financial responsibility for any costs incurred as a result of personal illness or injury sustained during the internship. There is no coverage by Mid Michigan College or the internship host organization for any injury. It is recommended that each student carry health insurance.
- I understand that Mid Michigan College or internship location does not guarantee employment upon completion of the internship.
- I understand that I will be assigned to the internship location as a trainee and therefore, no employer/employee relationship is established and the internship location does not incur liability with regard to Worker’s Compensation.
Name*

First NameMiddle NameLast Name
Mid Student ID Number*
Mid Mich Email*
example@midmich.edu
Internship Location*
Provide the name of the business or organization.
Internship Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Worksite Supervisor Email*
example@example.com
Is this a paid internship?*

YesNo
If yes, what is the hourly pay rate?
Please enter the amount the intern will earn per hour.
Student Signature*

Clear
Today's Date*

MonthDayYear
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact the Career Center at (989) 317-4613 or careercenter@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

Click Here to complete the Worksite Supervisor Section.
Worksite Supervisor Section

As the Worksite Supervisor, I agree to...
Review Mid Michigan College's Non-Discrimination Statement.
Abide by Mid Michigan College's Non-Discrimination Statement.*

Yes
Assign relevant tasks that meet the student's specific program objectives.*

Yes
Monitor successful completion of the program objectives.*

Yes
Provide feedback and instruction if the student fails to complete a program objective or task successfully.*

Yes
Notify the Career Center Director of any performance or attendance issues.*

Yes
Approve and sign bi-weekly student time sheets and complete the Worksite Supervisor Internship Evaluation form provided by the Career Center Director.*

Yes
Worksite Supervisor Name*

First NameLast Name
Worksite Supervisor Email*
example@example.com
Worksite Supervisor Phone Number*

Area CodePhone Number
Worksite Supervisor Signature*

Clear
Today's Date*

MonthDayYear
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact the Career Center at (989) 317-4613 or careercenter@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

Click Here to complete the Career Center Section.
Mid Michigan College Career Center Section
As the Career Center Director, I agree to
- Provide guidance to the student throughout the internship experience.
- Ensure that the student's program objectives are the focus of assigned internship tasks.
- Assign the student, in cooperation with the Worksite Supervisor, a final grade for the internship course and to record that grade in the student's permanent academic record at Mid Michigan College.
Student Email*
example@midmich.edu
Career Center Director Signature*

Clear
Today's Date*

MonthDayYear
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact the Career Center at (989) 317-4613 or careercenter@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.
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Internship Agreement

Student Section

Worksite Supervisor Section

Mid Michigan College Career Center Section