ÐÏà¡±á>þÿ <>þÿÿÿ;ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Ái ð¿bjbjúÍúÍ 4˜§{b˜§{bÿÿÿÿÿÿ·˜˜˜˜˜ÿÿÿÿ¬¬¬¬È¬ütÜÜÜÜÜ···{}}}}}}$p!¶&$`¡˜·····¡˜˜ÜÜÛ¶sss·˜Ü˜Ü{s·{ss:/,·Üÿÿÿÿð‚¤5Aí×ÿÿÿÿÍ:[ gÌ0üeR†$:†$··†$˜Ëœ··s·····¡¡A2···ü····ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ†$·········B^: HSOC 190: Internship, Health and Society Program, Program Director Jeanne Shea, University of Vermont INTERNSHIP AGREEMENT Name of Student Name, Email, and Phone _______________________________________________________ HSOC 190 Course Faculty Name, Email, and Phone _______________________________________________ Semester (e.g., Fall 2020, or Spring 2021) _______________________________________________________ Number of ¶¶ÒõÌ½Ì½ Course Credits Sought _______________________________________________________ [Total work hours required in a semester: 1 credit = 40 hours, 2 credits = 80 hours, 3 credits = 120 hours, 4 credits = 160 hours, 5 credits = 200 hours, 6 credits = 240 hours. Only 3 credits of HSOC 190 may count toward the HSOC major or minor; those 3 credits may count as an HSOC elective.] Internship Position Title ______________________________________________________________________ Agency/Organization ________________________________________________________________________ Internship Agency Contact/Supervisor Name _____________________________________________________ E-Mail/Phone/Address for Agency Internship Supervisor ___________________________________________ __________________________________________________________________________________________ Student’s Internship Schedule [For 3 credits, students work an average of 10 hours per week in a 12-week semester. Adjust hours per week as needed according to how many weeks you work to add up to the total required for the semester as above.] _________________________________________________________________________________________ _________________________________________________________________________________________ Intern’s Responsibilities _____________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ The Student agrees to: Adhere to guidelines and procedures established for all employees and volunteers at the agency/organization Work assigned days and hours as agreed upon with the supervisor Act professionally in the internship setting The Internship Agency Supervisor agrees to: Provide the student with any appropriate training and/or orientation Provide the student with agreed-upon activities and responsibilities Report any concerns to the course instructor Complete an evaluation of the student at the conclusion of the internship Internship Agency Supervisor Name (printed) ___________________________________________________ Internship Supervisor Signature and Date _______________________________________________________ Student Signature and Date__________________________________________________________________ Pefg|}Œ£ÚÛÜÝô 5 ; < = E V X [ f h … Ÿ ¡ ¯ ¶ ½ Ä Õ é ü þ 4 : w Œ Ž • ™ £ ÷ï÷çÜÐÅÁ½Á½Á²®½®½®£Ÿ›—“—›Ÿ“Ÿ£ŸŸ‹Ÿ‹‡ƒƒ{{{hÇnth™k{hçCSh²]hk h§°h×ûh²hÁy±h Ðh%lh ÐCJaJhè(oh%lhè(oCJaJhŒCh–kh%lh–kCJaJh%lh–k5CJ aJ hŒCh–kCJaJh%lh–k6hŒChŒC6hŒCh\ò60fg|}ÜÝ< = ¡ ý #$…†ãäDE§¨ # $ û ÷ïïêêêêêêêêêååêêêêêêêêêêêêgd×~Ègd–k$a$gd–k$a$gd%l£ ¥ ¬ ® ½ É Í !"#$=>„…†šÍâãäïö/CDEQY^epz“”¦§¨ì " # $ % & 2 = üøôèßèßèøÛ×ÓÌÈÛ½Ó¹È¹®¹Ó¹ÓÈ¹®¹È¹ªÈ¹ª¦È¹®¹¢¹—¹“ˆ“„“€hnIhhçCSh%lhÎ/jCJaJhÎ/jh%lh©E1CJaJh† æhŒChk h%lh–kCJaJh–kh%lh×~ÈCJaJhý>h©E1h×~ÈhçW0hè(oh×~Èh²6CJaJh¢òh²6CJaJh²h§°h™k{2= D E L R a w y z € † ™ ¾ À î ñ ø ù û ü AUVWœ°ýXlmn³ÇÈÉ¹ºÉÐòù<G—©öüøôðøôìèäìèìäìäìôøÙøÕøÙøÕøÑøÙøÑøÙøÑøÙøÙøÍøÉøÉøÉøÉøÉøh[f'h³oûhjRhKãh%lh–kCJaJhnIhhŒChçCSh^8hÎ/jh–khq]L4û ü VW±²mnÈÉàLŒ¹ºæ+pçèHIª«úúúúúúúúúúúúòòòúúêêêêúúúúúú &Fgd–k &Fgd–kgd–k21h:pŒC°Ð/ °à=!°Ð"°Ð#Ð$Ð%°°Ð°ÐÐþs2ÆÖæö&6FVfv†–ÆÖæö2(Øè&6FVfv†–ÆÖæö&6FVfv†–ÆÖæö&6FVfv†–ÆÖæö&6FVfv†–ÆÖæö&6FVfv†–ÆÖæö&6FVfv†–8XøV~ °ÀÐ€àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@àð 0@_HmH nHsH tH@`ñÿ@NormalCJ_HaJmH sH tH DA òÿ¡DDefault Paragraph FontRióÿ³RTable Normalö4Ö l4Öaö(k ôÿÁ(No ListPK!éÞ¿ÿ[Content_Types].xml¬‘ËNÃ0E÷Hüƒå-Jœ²@%é‚ÇŽÇ¢|ÀÈ™$ÉØ²§Uû÷LÒTB¨ l,Ù3÷ž;ãr½µÃ˜œ§J¯òB+$ëG]¥ß7OÙV‰÷c:²ËƒE3v@âPÇ~Æ¡D‘s‡ |Ÿ™wˆ<‡< xkºïl¤ûl5¸ «SZˆ¼2O,¹¼Ž™Q¿ƒ ¬¤€¡ë‰Ïù5y÷ÿ;y=ýá…eEïGÒíŽ|\PÌÛ ±ÞM7Ö$|n]¸–ŒÉ‡¯Û]4ï`¸U6›×GÙþ(Ûîÿ^¶·ÝÏï_¬WúÒ-·év]mÞ£{÷ ¡t ïqµ}çÐ•Æ}”vê¹çÏr³å¸i‚”“0ñá D3Øã—]édÊ3×SîÌ‡¿¶ú–x:öÙ8}d-—åãi*‰ÕxÉÏÇáqC¤èZ}õ–»Wl§êqyI@Ú^„„6™I¢j!Q_Ê ©‡sš…„ZÙ{aÑ´°hH÷ËTm°jyV`ÛäÀf«åú˜€±¹è<¹‹ ÄüzYpL8¼*§Ñx¥™ÙªþÖS&»ú;EUCé8¢³eEó®¤<§£ÎòhgÙš! 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