Internship Learning Agreement

Next steps:

  • You may save this page as part of your conversations with your supervisor.
  • Obtain Letter of Offer which can be emailed, mailed, or faxed to Hiatt.

hiattcenter@brandeis.edu

Hiatt Career Center, Attn: Transcript Notation

MS 204, Brandeis University, Waltham, MA 02454

Fax: +1.781.736.3622 

Student Information

First Name:   Last Name:  
Class Year:   Sage ID:  
Major(s):   Minor(s):  
Brandeis email:   Mobile phone:  

Organization's Information

Organization's name:   Industry / Career Field:  
Address:   City:  
Country (if other than US):   US State:
 
Zip or Postal code:   Web Site:  
Supervisor's first name:   Supervisor's last name:  
Phone:   Supervisor's email:  

Learning Goals and Objectives

The following set of goals and learning objectives developed by the student and the site supervisor are used as guidelines for determining whether the requirements of the internship have been met.
Learning objectives (What do I intend to learn during this internship?):
 
Activities (How will this internship help me accomplish the above objectives?):
 
Evaluation (How will I demonstrate my acheivement of these objectives?):
 

Written Requirements

The student is required to submit the following materials in relation to his/her internship:
  • Learning Agreement (Before)
  • Letter of Invitation/Offer from internship site (Before)
  • Student Evaluation (After)
  • Supervisor Evaluation (After)

Acknowledgment

I understand that receiving Transcript Notation requires the successful completion of the following:
  • Submitting this Learning Agreement on-line
  • Submitting a Letter of Offer
  • An internship of at least 5 weeks and 100 hours
  • Submission of Student Final Evaluation (before the end of the internship)
  • Submission of Supervisor Final Evaluation (before the end of the internship)
Failure to complete the requirements by all assigned deadlines will prevent me from receiving official Brandeis Transcript Notation. The submission of my online Learning Agreement indicates my understanding of and agreement with the policies set forth here.