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The signatures are to be obtained at the beginning of the internship
The Intern shall provide a copy for Dr. Withen & the Supervisor. |
Professor's Name: Patrick Withen: Signature: ________________________ Date: ___________ |
Address: Dept Social Sciences
Phone: 276-376-4526
1 College Ave Email: pwithen@virginia.edu UVaW Fax: 276-328-2447 Wise, VA 24293 |
Book Title & Author chosen in consultation w/ the Intern, the Prof, & the Supervisor: |
Intern's name: ______________________ Signature: ________________________ Date: ___________ |
Address: |
Phone: _________________________________________ Email: |
Approximate dates Internship is to run: |
Description of Internship Experience, written by the Intern
in consultation w/ Prof. Withen & the Supervisor:
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Supervisor's name: ________________________ Signature: ______________________ Date: _________ |
Name & Address of Agency, Company, etc.:
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Phone: _________________________________________ Email: |
Important Dates: |
Term in which Intern registers @ UVaW: Journal Due every 2 weeks from the Start Date: |
Midterm Evaluation by Supervisor Due: |
Final Evaluation by Supervisor Due: |
Draft Proposal Assignment Due: |
Term Paper Assignment Due: |
Presentation Assignment Due: |