USDA HEPCAMP Internship: Director Approval Form

DIRECTOR APPROVAL FORM

Deadline: February 28, 2025
Student Name: First Name* Last Name*

The student mentioned above was/is a participant in the HEP or CAMP program.
List the date(s) the student was enrolled in the program
(Example: 2021 - 2022 Academic Year)
List HEP or CAMP Institution/Agency
HEP or CAMP Program Director Name

First NameLast Name
Director's Phone Number
Format: (000) 000-0000.
Director's Email
(A confirmation will be sent to this email address)
QuarterSemester2 Year IHE4 Year IHE
Director's E-Signature - By signing below the director verifies that the student is eligible for the USDA - HEP/CAMP Internship Program.
Should be Empty:

DIRECTOR APPROVAL FORM