Appendix B: Employer Agreement

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Please select the student's area of study...

Name of Organization

Name of Intern

Beginning of Internship:

Select Date

End of Internship:

Select Date

Duties and Tasks to be Assigned:

Please be as specific and detailed as possible with the intern job description, as the number and variety of entries will determine the number of credit hours to be awarded and serve as the basis for the student performance objectives.

Please list the specific duties and tasks the intern will be assigned and responsible for or attach this information below. Also include a description of the training that will be provided for the student intern.

Terms and Conditions of Internship:

List the hours and terms of compensation (if applicable):

By signing this form, our organization agrees to participate in the Black Hills State University School of Behavioral Sciences Internship Program by accepting this intern for the dates above. All information on this form is accurate and current.

Your name:

Date:

Select Date

Email:

This letter of intent is not to be construed as legal or binding, but for informational purposes only. Thank you for your willingness to serve as an internship partner.