Agricultural & Extension Education 489

Internship in Agricultural Occupations

Internship Agreement and Training Plan

Date:

Name:

Local Address:

City, State, Zip:

Telephone:

Email:

Position Title:

Position Description:

Agriculture Taxonomy Area: (check ✔ all that apply)

❒ Production Agriculture

❒ Farm Business Management

❒ Small Animal Production & Care

❒ Agricultural Business

❒ Industrial Equipment

❒ Agricultural Education

❒ Agricultural Processing

❒ Horticulture

❒ Natural Resources

❒ Environmental Management

❒ Forestry

❒ Agricultural Communications

Employer Information:

Name of Employer:

Address:

City, State, Zip:

Telephone:

Name of Supervisor:

Title:

Telephone:

Email:

Work Schedule:

Beginning Work Date:

Ending Work Date:

Normal Work Hours: to

Normal Work Days: ❒ Monday ❒ Saturday

❒ Tuesday ❒ Sunday

❒ Wednesday

❒ Thursday

❒ Friday

Competencies: Please list the competencies which you will develop during your internship.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

The undersigned agree to conform with this agreement. Two weeks notice must be given to all parties before this agreement is terminated.

Student Signature Date

Employer Signature Date

__ _______

Instructor Signature Date