College of Continuing Education

Undergraduate Programs Applied and Professional Studies Information Technology Infrastructure (ITI) Internship – INet 4596

STUDENT/FACULTY AGREEMENT FOR INTERNSHIP

After obtaining your internship, and prior to registration, complete this form.

Locate an ITI faculty adviser to assist you in this by helping you plan how you will complete your internship. This faculty adviser will also serve as your mentor and instructor. See https://ccaps.umn.edu/information-technology-infrastructure-bachelors-degree/faculty-staff-advisory-board for a list of faculty and courses they teach.

Please type in shaded areas, using the tab key to move between spaces. This may result in more than two pages. Save as a new document, and after obtaining faculty adviser approval, add your own signature (typed name & date) and submit by forwarding it to the ITI internship coordinator Lynn Cross at [email protected].

Student name: U of MN student ID #:

Student e-mail address: Your phone:

Term: Fall Spring Summer Year

No. of credits: Start date: Anticipated completion date:

Employer: Employer phone:

Employer address: Name of direct supervisor:

Name of ITI faculty adviser: Direct supervisor e-mail:

Job Description: Briefly describe the responsibilities for the internship position. If you already have a copy of a job description, you may attach that instead.

11/2/2017 1. Learning Objectives: List the new skills and knowledge that you hope to obtain, or existing skills and knowledge to develop, during this internship:

2. Workplace Goals: How you will apply the course work you have completed as an ITI student (i.e., in what ways will you use your existing knowledge of IT Infrastructure in your work in this position?):

3. Specific Deliverables to Be Evaluated How will your grade be determined? Deliverables are submissions (e.g., status reports, research papers, journals) that will enable evaluation of your progress in meeting the learning objectives and workplace goals described above.

Student signature Date

Approved for submission – ITI Internship Faculty Adviser Date

Approved for registration – ITI Faculty Director Date

For administrative use:

Permission code:

Date provided:

Internship coordinator’s initials:

11/2/2017