Internship Approval Form

Student Information

First Name:

Last Name:

Email Address:

Student ID:

Degree Program:

Internship Semester

When do you plan to complete this internship?

Semester:

Year:

Internship Information

Company Name:

Supervisor's Name:

Supervisor's Phone Number:

Supervisor's Email:

Supervisor's Mailing Address:

Formal Internship Job Description:

How did you find this internship?:

Briefly describe how you found this internship:

Record ID:

General Release Form

am a degree student with Berklee Online, the online extension school of Berklee College of Music and plan to undertake an internship during the:

Fall Semester Winter SemesterSpring SemesterSummer Semester

of the year 20

Berklee College of Music itself does not control the way in which the internship work experience and the internship site is structured or operates. In granting academic credit for this internship, the College affirms that, to the best of its judgment, the experience is an appropriate curricular option for students and worthy of Berklee College of Music credit. The college makes no other assurances, express or implied, about any travel and/or living arrangements the student has made. Berklee College of Music does not knowingly approve internship opportunities that pose undue risks to their participants. However, any internship or travel carries with it potential hazards which are beyond the control of the College and its agents or employees. In signing this Agreement, I acknowledge my responsibility to ascertain the nature of those risks to the best of my ability and to conduct myself with reasonable care.

Insurance Coverage

I have sufficient health, accident, disability, and hospitalization insurance to cover me during my internship and/or I further understand that I am responsible for the costs of such insurance and for the expenses not covered by insurance. I recognize that Berklee College of Music does not have an obligation to provide me with insurance coverage or reimbursement for medical care.

I understand that if I use my personal vehicle for the benefit of the organization/agency with whom I perform my internship that Berklee College of Music has no liability for personal injury or property

damage, which may result from that use.

Sponsor Relationship

I understand that I will not be entitled to unemployment compensation benefits upon completion of my internship. I understand that the internship work experience is not an offer of employment. Rather, the experience is for educational purposes with a set termination date. I also understand that Berklee College of Music assumes no liability for personal injury that I may suffer in the course of my internship. I agree to be responsible for ascertaining whether the organization/agency sponsoring my internship provides any insurance coverage for me. I understand that the Sponsor is not required to provide monetary compensation for the time I spend at the Sponsors place of business during the internship experience. I agree to be responsible for ascertaining whether the Sponsor will or will not provide monetary compensation. Berklee College of Music prohibits discrimination on the basis of gender, race, color, age, national origin, religion, or disability.

Personal Conduct

I understand that the responsibilities and circumstances of an internship require a certain standard of professional decorum that may differ from that of Berklee College of Music, and I indicate my willingness to conform to professional standards of the internship site. I further understand that it is important to the success of the present internship and the continuance of future internships, that interns observe standards of conduct that would not compromise Berklee College of Music in the eyes of the individuals and organizations with which it has dealings. I acknowledge Berklee Online’s responsibility, in conjunction with the Office of Experiential Learning, for setting rules, and interpreting conduct for this purpose. I agree that should the Internship Advisor or Dean decide that I must be terminated from my internship because of conduct that might bring the program(s) into disrepute, or the internship into jeopardy, that decision will be final and may result in loss of academic credit for the internship.

General Release

I understand that Berklee College of Music reserves the right to make cancellations, changes, or

substitutions in case of emergency or changed conditions or in the general interest of the internship program(s). I understand that the Internship Advisor or Dean may take any actions he/she considers to be warranted under the circumstances and/or to guard the integrity of the internship program, including termination of the internship experience.

I further expressly agree that the internship site and its use of any facilities shall be undertaken by me at my sole risk and that Berklee College of Music shall not be liable for any and all claims, demands, injuries, damages, actions, or causes of actions, whatsoever to me or to my property arising out of or connected with the internship and with the use of any and all liability that may arise out of any injury or harm to me, death, or property damages resulting from my participation in this internship, excepting only liability due to the misconduct of Berklee College of Music.

I attest that I am over the age of 18 and may legally be employed in the United States of America. I

warrant that I have disclosed all relevant, pertinent information that could affect my ability to

successfully complete the internship.

As a graduate student, I acknowledge that I understand that my graduate internship credit will not fulfill a program requirement in my master's degree.

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