Learning Contract

	Learning Contract Human Services Program Field Studies Forms.HSPFieldStudies@wwu.edu	#New Form

Instructions

Before starting this form, please note the following instructions:

The student should craft an email to their site supervisor with the name of the form, its link, and any content that should be included in the form. Do this for the Internship Agreement, Learning Contract, and Weekly Internship Schedule. Please keep in mind this will require you to think through your learning objectives and activities and your weekly internship schedule. Conclude the email with a request to set up a meeting with your site supervisor to discuss and agree on the content of the form. Ideally, this should occur the first week of the quarter (or earlier, if possible).
Site supervisors must initiate each form (Internship Agreement, Learning Contract, and Internship Schedule) by clicking on the form link and entering the information provided by the student. The supervisor then submits the form by entering their own email at the bottom and clicking the submit button.
Field Studies will send the student intern a copy of the form once it has been submitted by their site supervisor. Please fill in any missing information (such as student W#, email, and phone), type your name on the student signature line, and click Approve. Once submitted, a message will appear on the screen.
Copy the form link on the message and paste it into the internship class's Canvas (per instructor's instructions).

Learning Contract

Intern's Last Name:

First Name:

W#:

Email:

Phone:

Agency Name:

Agency Address:

Field Supervisor Name:

Supervisor Email:

Supervisor Phone:

University Instructor Name:

Academic Quarter:

Year:

Please use as much space as needed on the following page(s) to articulate your Learning Objectives and Learning Activities. Retain a copy of this Learning Contract for your records, and supply your Instructor and field supervisor with a completed and signed copy

Learning Objective 1: (Learning objectives describe what the student plans to know or do after completing
the quarter at the internship site.)

Corresponding Learning Activities: (Learning activities describe specific tasks that outline how the
student will accomplish the learning in the objectives.)

Learning Objective 2:

Corresponding Learning Activities:

Additional Learning Objectives and Learning Activities (Optional).

The following signatures indicate that these individuals have approved these learning objectives and their corresponding learning activities as an appropriate academic learning experience. Please type your name in the designated space and enter date.

Student Signature:

Date:

Field Supervisor Signature:

Date:

University Instructor Signature:

Date:

Routing Instructions

	Student crafts an email to their site supervisor with the name of the form, its link, and the agreed-upon learning objectives and activities, along with any other content that should be included in the form.
	The Site Supervisor will review the learning objectives and activities included in the student's email. If approved, the Site Supervisor will initiate the Learning Contract form by copying and pasting the objectives, activities, and other content into their appropriate boxes. The Site Supervisor then signs the form by typing their name on the signature line. To submit the form, the Site Supervisor types their own email address in the box at bottom and clicks "Submit".
	Field Studies sends the form to the student.
	The Student fills in any needed information, types their name on the student signature line, and submits the form to Forms.HSPFieldStudies@wwu.edu. The student also submits the form to their instructor by copying the form's link into the CANVAS assignment for that Form (per their instructor).
	The Instructor opens the form from the Canvas assignment and approves or disapproves. (Instructors are encouraged to contact the student if the form is disapproved.) Once the form is approved, the instructor types their name on the Instructor Signature line and submits the form to Forms.HSPFieldStudies@wwu.edu.
	FORMS (Field Studies) can LOCK form at end of the quarter.

Signatures and Attachments

The submitter may optionally enter their email address below. Press SUBMIT to send it.

Your Email Address: