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Internship Learning Contract

Contact Information

Student Name*
Faculty Sponser*
Advisor Name*

Internship Information

Name of business.
Internship Address*
Start Date of Internship*
End Date of Internship*
45 hours = 1 credit.
Site Supervisor Name*
Tracking time, providing written evaluation, how often, etc.
Site Supervisor Approval*
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Upload an email where the site supervisor approves the internship.

Routing Information


  • Faculty Sponsor (approval)
  • Advisor (approval)
  • Associate Dean (approval)


  • Coordinator of Theatre Operations (course listing & registration)


  • Student
  • Faculty Sponsor
  • Career & Engagement Specialist

Faculty Sponsor Approval

I have discussed the equity issues around internships, pay and credit.*

Site Supervisor Approval

  • The student shall, at all times, be subject to and comply with all rules, regulations, procedures, and policies of Ithaca College and the Site.

  • The Site shall provide appropriate supervision of student by appropriate, qualified personnel, make available the relevant facilities for student training, including necessary and appropriate equipment and supplies, and shall undertake such activities as will permit student to gain field experience.

  • The parties acknowledge that some student internship records could be considered educational records protected by the Family Educational Rights and Privacy Act (FERPA), and that student permission must be obtained before releasing specific student information to anyone other than Ithaca College.

  • While participating in the field experience, the student shall in no event become nor be deemed to be employees, servants or agents of the Site, nor shall any person on the staff or administration of the Site become or be deemed to be an employee, servant or agent of the College.

  • Both parties agree to indemnify and hold free and harmless the other and its respective facilities, trustees, directors, officers, agents, employees and appointees from expenses, claims, lawsuits and judgments for which the indemnified party may become liable to pay or defend as a direct result of any negligent act or omission on the part of the indemnifying party, or its employees, which might arise as a direct result of Ithaca College’s student internships.
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Advisor Approval

I have discussed the educational goals with the student.*

ADean Approval


Coordinator of Theatre Operations

Course Created