Internship Site Approval Form

Kinesiology, Sport Studies & Physical Education

About this form

As part of student and site evaluation, the internship coordinator may visit or contact the site supervisor, or arrange a visit through the student intern. The site visit may be conducted at least one time during the semester, or more if deemed necessary. These appointments may be scheduled either in person or via virtual platform.
Internship Facility
Main Contact Main Contact First Last
CSCS Credentials
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)
Any additional supervising staff, with credentials.
Brief description of facility including equipment:
Overview of types of responsibilities and learning experiences intern will have:
Brief description of the typical clientele the site serves.
Does this site meet CASCE standards for field placement?
Was the site supervisor provided with the Internship Handbook?
Has the site supervisor completed training?
MOU
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)
MOU Expires: MOU Expires: / MM / DD YYYY
Internship Coordinator: Type your full name in the box below as legal representation of your signature.