Weekly Internship Schedule
Human Services Program
Field Studies
Forms.HSPFieldStudies@wwu.edu
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New Form
Weekly Internship Schedule
The schedule below has been agreed upon by the field supervisor and the intern.
Sudent Last Name:
First Name:
Date:
Agency Name:
Agency Address:
Field Supervisor Name:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Alternate Scheduling Arrangements
This schedule will change weekly given the nature of the work.
Schedule may occasionally include evening and weekend hours.
There are dates when the field supervisor will not be available (vacation/conference/family leave) during the
term.
Dates:
Will intern countinue their placement during this time?
Yes
No
There are dates when the intern will not be available (vacation/conference/family leave) during the
term.
Dates:
Total Weekly Hours:
Approver
Date
Signature / Name
Field Supervisor
Student Intern
University Instructor
Routing Instructions
Routing Instructions: Make Sure to Fill out All Fields for Your section before Submission to Forms.HSPFieldStudies@wwu.edu
Student submits form to Forms.HSPFieldStudies@wwu.edu
FORMS (Field Studies) approves or disapproves and sends back to the student email
Student submits the form link into their CANVAS assignment for that Form (per their instructor)
Faculty opens form from the Canvas assignment, approves or disapproves, and submits form to Forms.HSPFieldStudies@wwu.edu
FORMS (Field Studies) then locks the form and no further changes can occur.
Questions? Contact HSP.FieldStudies@wwu.edu; or 360-650-4655
Signatures and Attachments
The submitter may optionally enter their email address below. Press SUBMIT to send it.
Your Email Address: