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Application for Internship

 

MONMOUTH UNIVERSITY

CRIMINAL JUSTICE INTERNSHIP CJ375

AGENCY INTERNSHIP AGREEMENT

 

 

STUDENT INTERN NAME_____________ID #____________

 

HOME/CAMPUS________________________________________________________

ADDRESS            ________________________________________________________

 

HOME PHONE_______________CAMPUS/CELL PHONE____________________

 

INTERNSHIP SITE             NAME_________________________________________

                                         ADDRESS_________________________________________

                                                            _________________________________________

                                              PHONE _________________________________________

 

INTERN MENTOR              NAME_________________________________________

                                                TITLE__________________________________________

                                               PHONE_________________________________________

                                    *****     EMAIL__________________________________________

                                      

Briefly describe the major duties and responsibilities of the student intern.  Consideration should be given to what the student intern is expected to learn from the internship experience.  The syllabus outlines the learning objectives.

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Signed:   STUDENT              _____________________         DATE_______________

                 

      AGENCY INTERN MENTOR_____________________     DATE_______________

 

      UNIVERSITY INTERN COORDINATOR_______________DATE_______________

 

**DAY OF WEEK INTERN WILL WORK____________________**START DATE___________________