Community-University Partnerships & Service Learning
It is essential to establish an agreement between faculty, students, and community organizations involved with your service-learning course. By creating a memorandum of understanding, all parties are clear on their commitments, responsibilities, and goals; you also create something to which you can refer back throughout the semester. Remember that MOU's represent the best of intentions and agreed-upon goals -- they should not be seen as legal contracts.
Name of Intern: ________________________________________________
Intern’s E-mail Address: __________________________________________
Intern’s Mailing Address: _________________________________________
Intern’s Phone Number: __________________________________________
Name of Supervisor: _____________________________________________
Name of Organization/Program/Agency: ______________________________
Supervisor’s E-mail Address: ______________________________________
Supervisor’s Phone Number: ______________________________________
Mailing Address: _______________________________________________
Brief Description of Internship (anticipated roles and responsibility; direct supervisor if different from above, possible projects, etc.):
I agree to fulfill the objectives of my work plan (which will be created by the end of the 1st week of my internship). I agree to meet weekly with my supervisor, to perform my duties to the best of my ability, and to fulfill the required number of hours (5hrs/week). I agree to make every effort to connect this internship with the concepts I will learn in class, and to share these reflections the course facilitators and students, and my internship supervisor. I will ask questions when I need more information and deal with challenges as efficiently as possible by contacting the appropriate support person.
Internship Signature: __________________________________________ Date: __________________
I agree to supervise this intern in an educationally and professionally appropriate manor: I will help him/her to develop a set of goals and objectives and meet regularly with the intern to provide clear and consistent feedback on his/her work. I will help the student to understand the organization with the time that I have available, and create opportunities for the intern to be involved in organizational functions beyond the specific projects he/she is working on. I will also provide feedback to the course facilitator at least once during the semester and once at the conclusion of the semester. I will maintain contact with the course facilitator should any challenges or concerns arise. I understand that the student is pursuing academic coursework in relation to this internship and will do my best to help the student to make meaningful connections between these two experiences.
Supervisor Signature: ________________________________________ Date: ___________________
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Last modified January 25 2011 02:27 PM