Forms for Students

  • Learning Agreement (PDF)
    Purpose: The official contract between the student intern, site supervisor and faculty sponsor. This Learning Agreement form must be filled out on line and you can save the file. Once the form is filled out and saved, print the form to obtain the required signatures and submit completed form to the Director of Experiential Education.
  • Internship Proposal (PDF)
    Purpose: A supplemental form that describes aspects of your internship goals & responsibilities. Includes detailed instructions. Students must download, print, completed and attach this proposal to the Learning Agreement Form.
  • Student Evaluation Form
    Purpose: This evaluation is designed to provide feedback on the internship placement site and your perception of the placement.
  • Summer 2015 General Internship Scholarship Form (PDF)
    Purpose: All SUNY Potsdam eligible students may apply for the following Internship Scholarships:
    • $1,000 Ellen Hughey Reynolds
    • $1,000 William N. Sloan
    • $1,000 Lambert Eagle
    • $500-$1,000 Alumni General (Number of Alumni General scholarships awarded depends on available   funds in the General Fund account)

Forms for Employers 

Employer-Internship Site Request Form
Purpose: Employers must fill out this form to request to host an intern at their worksite or organization.


Work Study/Student Assistant Application
Students interested in applying for a Experiential Education Work Study/Student Assistant Position must download the PDF application and submit the completed application to a staff member in Sisson Hall 110.