Appendix C
Bay College
Student Co-op/Internship Training Plan
Student Name: _________________________________________________________________________
Address: ______________________________________________________________________________
Program Area: _________________________________________________________________________
Work Site
Location: _____________________________________________________________________________
NAME
____________________________________________________________________________
ADDRESS
Work Site Co-op/Intern Supervisor Name: ____________________________________________________
Phone #: ______________________ .......................... Title: ______________________________________________
Co-op/Internship Start Date: _______________________ Ending Date: _________________________
Number of Weeks: ___________ Hours per Week: ______________ Total Hours: ______________
To ensure that the Co-op/Internship is directly related to the student’s field of study and warrants college credit, the following learning
objectives and activities have been established:
(NOTE: This list* may include actual work activities, reports, products, etc.)
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________
4. ________________________________________________________________________________
5. ________________________________________________________________________________
*Attach additional sheets if necessary.
___________________________________ _________________________
Student Signature Date
___________________________________ _________________________
Employer/Supervisor Signature Date
___________________________________ _________________________
Faculty Contact Date
Original: Academic Dean
Copies: Faculty Contact
Student
Work Site Supervisor
click to sign
signature
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signature
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