Internship
Architecture Department Cooperative Education/Internship APPLICATION STUDENT INFORMATION _____________________________________ Student Name
________________________________ Student ID Number
___________________________________________________________________________ Student’s Co-op/Internship Address, City, State, Zip Code
____________________________ Student Phone Number [email protected] Student Email Address
No
Are you an International Student? Yes
If yes, you must meet with an International Programs Advisor.
EMPLOYER INFORMATION ____________________________________________________________________________________________________________ Employer Name ____________________________________________________________________________________________________________ Employer Address, City, State, Zip Code ___________________________________________________________ Co-op/Internship Supervisor Name
___________________________________________ Supervisor Position
___________________________________________________________ Supervisor Telephone Number
___________________________________________ Supervisor Email Address
CO-OP/INTERNSHIP INFORMATION Co-op/internship location if different from above: _____________________________________________________________________________________________________________ Address, City, State, Zip Code Start date: _____________ Finish date: ______________ Check if you need studio credit (5 units): Summer ARCH 485
Fall ARCH 451
Winter ARCH 452
Spring ARCH 453
How many total course units do you need (including studio units if applicable)? _________ Planned work schedule: Hours per week _____ x number of weeks _____ = total hours _________ Are you being compensated for this co-op/internship? Yes If yes, the rate is $ _____________ per hour
CONTINUED ON BACK
week
No month
STUDENT AGREEMENT FORM continued Have you begun the Intern Development Program (IDP)?
Yes
No
Whether or not you have begun IDP, please review the "IDP Guidelines”(http://www.ncarb.org/~/media/Files/PDF/ Guidelines/IDP_Guidelines.pdf) with your proposed co-op/internship supervisor, identify the IDP categories and areas that you can expect to explore, and attach an outline to this form.
SIGNATURES "I accept this co-op/internship as authorized by the Architecture Department." __________________________________________________
_______________
Student Signature
Date
"This student is my apprentice, and I agree to support his/her professional education and progress to licensure while working under my supervision.” __________________________________________________
_______________
Co-op/Internship Supervisor Signature
Date
"This student is in good academic standing and the co-op/internship meets the requirements of the Architecture Department." __________________________________________________
_______________
Faculty Advisor Signature
Date
"I have consulted with this student about employment visa options and/or the international study abroad travel process." _____________________________________________ International Center Signature
________________________________________ International Center Name
A Letter of Recommendation for Academic Training Authorization is required Yes
______________ Date
No
The information below is to be completed by the Staff Coordinator and provided to the student. Registration Information: Quarter/Year
Course Numbers
Permission Numbers
Units
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
________________________________ Student ID Number
___________________________________________________________________________ Student’s Co-op/Internship Address, City, State, Zip Code
____________________________ Student Phone Number [email protected] Student Email Address
No
Are you an International Student? Yes
If yes, you must meet with an International Programs Advisor.
EMPLOYER INFORMATION ____________________________________________________________________________________________________________ Employer Name ____________________________________________________________________________________________________________ Employer Address, City, State, Zip Code ___________________________________________________________ Co-op/Internship Supervisor Name
___________________________________________ Supervisor Position
___________________________________________________________ Supervisor Telephone Number
___________________________________________ Supervisor Email Address
CO-OP/INTERNSHIP INFORMATION Co-op/internship location if different from above: _____________________________________________________________________________________________________________ Address, City, State, Zip Code Start date: _____________ Finish date: ______________ Check if you need studio credit (5 units): Summer ARCH 485
Fall ARCH 451
Winter ARCH 452
Spring ARCH 453
How many total course units do you need (including studio units if applicable)? _________ Planned work schedule: Hours per week _____ x number of weeks _____ = total hours _________ Are you being compensated for this co-op/internship? Yes If yes, the rate is $ _____________ per hour
CONTINUED ON BACK
week
No month
STUDENT AGREEMENT FORM continued Have you begun the Intern Development Program (IDP)?
Yes
No
Whether or not you have begun IDP, please review the "IDP Guidelines”(http://www.ncarb.org/~/media/Files/PDF/ Guidelines/IDP_Guidelines.pdf) with your proposed co-op/internship supervisor, identify the IDP categories and areas that you can expect to explore, and attach an outline to this form.
SIGNATURES "I accept this co-op/internship as authorized by the Architecture Department." __________________________________________________
_______________
Student Signature
Date
"This student is my apprentice, and I agree to support his/her professional education and progress to licensure while working under my supervision.” __________________________________________________
_______________
Co-op/Internship Supervisor Signature
Date
"This student is in good academic standing and the co-op/internship meets the requirements of the Architecture Department." __________________________________________________
_______________
Faculty Advisor Signature
Date
"I have consulted with this student about employment visa options and/or the international study abroad travel process." _____________________________________________ International Center Signature
________________________________________ International Center Name
A Letter of Recommendation for Academic Training Authorization is required Yes
______________ Date
No
The information below is to be completed by the Staff Coordinator and provided to the student. Registration Information: Quarter/Year
Course Numbers
Permission Numbers
Units
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
