Internship Contract Worksheet

This worksheet is to be submitted by University of Vermont students only. All students should completely fill out this application and click once on the "Click Here To Submit" button at the bottom of this page.

STUDENT INFORMATION
Date
Student Name
Advisor:
Local mailing address:
Local City, State & Zip Code
Phone Number:
Email Address:
Student ID #
PROVIDER INFORMATION
Business Name:
Business Address:
Supervisor's Name (first and last):
Phone number:
Email (if available)

INTERNSHIP GOAL:
(Why are you doing this internship? What do you want to get out of it?)

RESPONSIBILITIES/ACTIVITIES:
(List, as best you can, what you will be doing, ie. your job description

Starting date:
Ending date:
Hours per week:
Is this a paid or volunteer position?

PREVIOUS EXPERIENCE(What previous animal experience have you had that is similar to this internship?)

(By clicking on the "submit" button, your application will be e-mailed directly to Fran Kinghorn, Internship Coordinator at the University of Vermont.)