Intern Policy Acknowledgment Form
Please review and acknowledge the internship policies by completing all fields below.
Full Name
*
First Name
Last Name
Internship Program/Department
*
Supervisor Name
*
Internship Start Date
*
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Month
-
Day
Year
Date
Please acknowledge you have read and understood the following key policy areas:
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Attendance and Punctuality
Confidentiality
Code of Conduct
Device/Equipment Use
Reporting Concerns
I acknowledge and agree to comply with all internship policies.
*
I acknowledge and agree
Electronic Signature
*
Date of Acknowledgment
*
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Month
-
Day
Year
Date
Additional Comments (optional)
Submit
Submit
Should be Empty: