School of Communications .............................................................. Communications
University of Hawaii at Manoa· 2550 Campus Road - Crawford 311- Honolulu, HI 96822-2217
PHONE: (808) 956-8647, 956-8715 - FAX: (808) 956-5396

COMMUNICATION INTERNSHIP AGREEMENT

A contract between the student and the internship supervisor

NAME:______________________________ SS#: __________________________

Registering for COM 495 for the _________________ semester 20_____________

In order to receive _____ credit hours, the intern has agreed to work a minimum of

_______ hours during the semester in the position and with the organization listed below.

POSITION TITLE: _______________________________________________________

ORGANIZATION: _______________________________________________________

Brief description of the Internship duties (give as much detail as possible):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

SUPERVISOR OF INTERN'S WORK: ____________________________________
-------------------------------------------------------
(NAME & TITLE)

MAILING ADDRESS OF ORGANIZATION:

__________________________________________

__________________________________________

__________________________________________ Zip Code: ____________________

TELEPHONE: _________________ FAX: ________________ E-mail: _____________

Near the end of the semester, the intern's supervisor will be asked to complete an evaluation form. This form is attached with this contact and is to be mailed or faxed back directly to the School of Communications (Please see the mailing address and fax number on the letterhead.)

___________________________________  _____________________________
Intern's Supervisor      -----..........................Date

___________________________________  _____________________________
Intern .........................................................----Date

*SUPERVISORS: Please retain a copy of this agreement for your records*