The success of a Field Placement depends upon cooperation between the Division, the Field Placement Coordinator, the Field Instructor, the Faculty Liaison, the Learning Institution, and the student. Criteria for Evaluating the Student’s Performance on the Objective: STUDENT (this section must be completed and signed by the Student) Student’s Name: Learning Institution: Academic Department: Start/End Dates of Field Placement: □ Start Date: End Date: Major(s): Minor(s): Phone #: Cell Phone#: _ STUDENT RESPONSIBILITIES As a student seeking credit for an internship experience, I agree to: Complete the Learning Agreement and submit it to the both the Faculty Liaison and Field Instructor.
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