http://spaa.newarrk.rutgers.edu
School of Public Affairs and Administration
Public and Nonprofit Administration Major
Service Learning I or II
Internship Guidelines & Contract
Rutgers University – Newark
School of Public Affairs & Administration
Center for Urban & Public Service Building
nd
111 Washington Street – 2 floor
Newark, New Jersey 07102
Phone: (973) 353 – 3709
Fax: (973) 353 – 5709
http://spaa.newark.rutgers.edu
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STUDENT SECTION:
Description:
The Public and Nonprofit Administration undergraduate program at Rutgers University – Newark promotes civic
engagement, strengthens teaching and learning, and builds collaborative partnerships through public service, service
learning, academic scholarship, and community based research. The purpose of the internship program is to afford
students an opportunity to translate their academic training into practical application and gain an overall perspective
and understanding of the public, government, and nonprofit sectors
Eligibility Requirements:
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Must be currently matriculated student in SPAA (School 40)
Completion of 24 credits in residence for FY students or 12 credits for transfer students
Must be in good academic standing for the semester of registration (2.000 or better)
Students on F1/J1 status must check with Office of International Student and Scholar Services (OISS) http://www.ncas.rutgers.edu/oiss for eligibility criteria
Completion of the following prerequisites:
 Introduction to Public Administration
 Government and the Nonprofit Sector
 Ethical Public Service
 Public Service Organizations*
 Leadership for the Service Professionals*
*Students can register for course in the same semester as internship
General Instructions: (The following steps MUST be completed.)
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Student receives and accepts internship offer from organization, agency, or company.
Student completes student section of Service Learning Internship Contract.
Employer/Supervisor completes employment section of Service Learning Internship Contract.
Student on F1/J1 status must submit the CPT form with contract, if required.
Student registers and completes Raidernet profile - https://newark-rutgers-csm.symplicity.com/.
Student submits all sections of Service Learning Internship Contract and resume to Assistant Dean for
Undergraduate Programs for approval before deadline date.
All documents MUST be submitted together – contracts, resume, Raidernet printout, and CPT form, if
required.
If contract is approved, students will receive email confirmation and special permission number (SPN) to
register for 4-credit service learning internship and seminar course.
Student MUST attend seminar class during the same semester of completing internship, unless authorization
is granted by Assistant Dean for Undergraduate Programs (i.e Completing internship during study abroad
experience)
Deadline Dates for Contract Submission:
Students interested in completing internships during the semesters and/or summer session MUST submit
COMPLETED contract by the following dates
 Fall Semester – August 15th
Complete internship from Sept. – Dec.
st
 Spring Semester – December 1
Complete internship from Jan. – May
 Summer Session – April 15th
Complete internship from May/June – August
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Part 1 - Student Service Learning Contract (Please Print Clearly)
Academic Information:
Last Name:
First Name
Student RUID#:
Personal Email Address:
Cell Phone#
Rutgers Email Address:
Campus Address:
Permanent Address: (Street, City, St, Zip)
Which Semester Are you Applying for an Internship?
Which Service Learning Internship are You Completing?
Semester
_____Summer
_____Fall
_____Spring
_____Service Learning Internship I – 40:834:430
Year
20______
20______
20______
MI
_____Service Learning Internship II – 40:834:431
For Office Use: Index#_____________
SPN#__________________
Have you Completed the Pre-Requisites?
Complete the following:
_____Yes
_____No If no, please circle missing courses
1st Major:__________________________
2nd Major:________________________________
1st Minor:__________________________
2nd Minor:________________________________
Public Service Organizations
Leadership for Service Professionals
BA/MPA Candidate: Yes or No
Expected Graduation Date:________________
Select Your Current Authorization/Citizenship:
(Students on a F1/J1 visa may only work 20 hrs. per week due to visa regulation)
Number of Credits Completed to Date: _______________
Cumulative GPA: _________________
# of Credits Attempted for this semester: ______________
You should not register for more than 13-16 credits while
completing an internship.
______ US Citizen
______ US Permanent Resident
______F-1 Visa
F1-J1 Students: Will you apply for CPT______
OPT_______
None________
Internship Information:
Internship Start and End Date:
Estimated Days/Work Hours for the Semester:
Anticipated Start Date: _________________
End Date:_________________________
# of hrs. per week: ____________________
Days of Week: _____________________
Company/Organization Name:
Company/Organization Address:
(Street Address, City, St. Zip)
Supervisor Name:
Supervisor Title:
Supervisor Email Address:
Supervisor Phone:
Internship Job Title:
Alternate Site Location: If interning at a different location than
aforementioned address:
Job Offer Letter or Job Description
Resume
A job description or job offer letter must be included with the application. Attach and submit all
documents with application
A copy of your current resume must be included with the contract.
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Part 1 – Student Service Learning Goals/Objectives:
Students must complete the learning goals and a work plan, in consultation with the site supervisor to ensure a rewarding educational
experience.
What do you expect to learn from this experience?
How will this experience relate to your academic study in Public and Nonprofit Administration?
How will this internship relate to your career/professional plans?
What specific projects/deliverable(s) will you complete for the organization?
What is the mission of the organization?
Describe services/goods provided by the organization/agency:
Type of Organization (Circle all that apply)
Government
Nonprofit
Environment
Policy
Organization Size (Circle all that apply)
Local
State
County
Other_____________________
Education
Research
Federal
Health-Related
Other______________________________
Foundation
Organization Website:
Name 3-5 learning goals/objectives, you hope to gain in relation to your academic study and/or professional development:
(For example: to lead and manage in public governance; to participate and contribute to the public policy process; to communicate with a diverse and global workforce
Complete on separate piece of paper and attach to contract
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Part 1 – Student Service Learning Agreement:
Application Deadline and Course Registration: Students are responsible for ensuring they are registered for the 4-credit
internship and seminar course. If you are concerned about your registration, contact the Office of Student and Academic Services
in SPAA.
Internship Seminar: Students are registered for a formal seminar course which includes assignments, class sessions, activities,
homework, and relevant deadlines. Please refer to the syllabus provided by the faculty member to remain in good standing.
Deadlines for class assignments are established by faculty.
Attendance during Internship: Students are expected to show up for their internship according to the signed contract.
Attendance must be verified weekly. Arriving late and departing early is disruptive to the organization and its staff.
Professionalism: The School of Public Affairs and Administration is a professional school. We expect our students to represent
the high standards expected of SPAA. Students will demonstrate honesty, punctuality, courtesy, cooperative attitude, proper
health, grooming habits, appropriate dress attire and willingness to learn. Students should adhere to the policies, procedures, and
dress code of the organization or agency.
Personal Devices: Use of personal technical devices is limited to appropriate professional conduct as explained by internship
supervisor. Best practices is to place cell phone on vibrate to avoid disturbing staff members. In addition, internet use should be
kept to professional activities and not used to email friends and/or visit social media pages.
Unforeseen Issues: Students who encounter any issues while interning with the organization, should notify the supervisor
immediately. If the issue or situation continues, contact the Assistant Dean for Undergraduate Programs and/or faculty teaching
seminar course.
Restrictions: Internships are expected to integrate academic and professional experiences. Because of this, academic credit will
not be awarded retroactively for previous employment or internship experiences. For Example: Students cannot complete an
internship during the summer and register for the seminar course during the fall semester.
Similarly, students will not receive internship credit for normal duties performed through pre-existing employment. Internal
internships performed with pre-existing employer must be separate and distinct from daily responsibilities. Internal internships must
be discussed and approved by the Assistant Dean before a contract is executed.
Paid/Unpaid Internships: Students must understand that all internships (paid or unpaid) are educational learning experiences and
the intern is not entitled to a promise of employment at the completion of the structured learning experience.
Successful Completion: To receive full academic credit, students must complete 150 hours as designated by the time sheet form,
complete mid and final evaluations from student and supervisor, and maintain satisfactory academic progress in the seminar
course.
Failure Grades: Should the supervisor contact SPAA about inappropriate behavior and/or termination from the internship site,
students will receive a failing grade for the internship and seminar course.
I acknowledge that I have read and understand the requirements listed in this contract and agree to the standards and
policies of the Service Learning Internship program in SPAA. All of the information provided is accurate to the best of my
knowledge.
_____________________
Student Name (Please Print)
________________________
Student Signature
______________
RUID
______________
Date
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Part 2 - Student Service Learning Time Sheet:
Students MUST complete 150 hours at the internship location and attend the mandatory seminar course taught by a
faculty member to fulfill the requirements of the 4-credit internship. This form MUST be signed by the supervisor on site
and SUBMITTED at the end of the semester to the faculty member in the seminar course.
Student Name:
Student RUID:
Student Cell Phone:
Student Rutgers Email:
Student Alternate Email:
Internship Organization:
Organization Supervisor:
Supervisor Email:
Supervisor Phone:
Weekly Dates
Completed Work Week Hours
Example: 7/6 – 7/9 & 7/10
15 hours on-site or 10 hours virtual
Supervisor
Initials
SS
Total Completed Internship Hours for the Semester:
Acknowledgement: The above information is true and accurate.
Student Signature: __________________________________________________________
Date: ____________________________
Supervisor Signature:_______________________________________________________
Date:____________________________
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Service Learning Internship Agreement for
Internship Site and Supervisors Section
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Part 3 – Service Learning Internship Agreement for Site/Supervisor:
(Internship Site Supervisor completes and reviews with student. Student submits entire contract to Assistant Dean for Undergraduate Programs).
Company/Organization Name:
Company/Organization Address:
Supervisor Name and Title:
Supervisor Email and Phone:
INTERNSHIP EXPECTATIONS, RESPONSIBILITIES, and SKILLS
What is the nature and extent of internship responsibilities? Please include specific tasks. A detailed job description or offer letter is required to
approve this contract (can be used to answer all questions).
What specific results or deliverables are expected of the intern?
What professional skills will the intern develop?
What professional contacts will be available to the intern?
What resources will the intern be able to use?
Is the intern currently employed with your company/organization? If yes, in what capacity? Student must receive authorization from
Assistant Dean for Undergraduate Programs. Student MUST complete different assignment with different supervisor, if approved.
Will student intern at different location other than aforementioned address? If yes, please provide location:
What are the dates and hours during which the work will be performed? Please list schedule for each day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Will student be compensated as a paid internship? If yes, complete following information:
Total Dollar Amount of Compensation: $______________
Frequency of Payment:
Hourly: ________
Weekly: ________
Bi-weekly: _______
Monthly: __________
Stipend: ____________
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Part 3 – Service Learning Internship Agreement for Site Visits:
Site Visits: Site visits will be conducted for new sponsor sites before contract is approved. Once approved, internship site will be
considered a partner site with SPAA. All site visits will be conducted by the Assistant Dean for Undergraduate Programs.
Students must schedule telephone conference call or meeting with supervisor and SPAA representative for virtual internship
assignments.
Checklist for Internship Site Visit:
Internship Objectives:
o Does the organization mission align with School of Public Affairs and Administration?
o Does the organization or agency use an intern evaluation form?
o Does the supervisor agree to complete the SPAA evaluation forms
Logistics:
o What training will the agency or organization provide?
o Do students need fingerprinting, background checks, or certification? If yes, will agency provide?
o Is there a back-up supervisor in case of extended absence or emergency?
o Are students required to attend special events, board meetings, or additional hours outside of agreed schedule?
o Will students have access to executive leaders or decision makers?
o Are students required to travel to secondary site or location?
o Are students provided with computers or other needed materials?
Privacy Rights:
o Are students allowed to take pictures or videos?
o What confidentiality policies the intern must adhere to?
o Are students allowed to participate with the organization/agency social media sites?
Risk Identification:
o Does the organization or agency have a safety orientation?
o Will students ever work unsupervised with clients?
o Will the organization/agency request emergency contact information? How will it be utilized
o Who should the university contact at the organization/agency in case of emergency with the student?
o Outline any risks involved in this internship placement?
Tour of Site:
o Organization/Agency should provide university staff a tour of all facilities in which student will be working
o Meet all staff who will supervise students or work directly with students
o Make note of any potentially risky situations.
Site Supervisor Acknowledgement: I have met with a SPAA representative to discuss the items above. The information in this Site Visit
Checklist is accurate.
Print Name: __________________________________________
Title: ______________________________________
Signature: ____________________________________________
Date: _____________________________________
SPAA Representative:
I have sufficient knowledge of the site to declare this placement as a suitable and the answers demonstrate acceptable risk without a site
visit.
Or
I have visited the site to verify that the aforementioned statements and questions have been answered thoroughly and demonstrate an
acceptable risk.
Print Name: __________________________________________
Signature: ____________________________________________
Title: ______________________________________
Date: ______________________________________
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Part 4 – Service Learning Internship Acknowledgements:
Internship Assessment: The quality of internships – both the degree of professional experience gained by students and the quality
of work they perform will be assesses at the mid-point and end of each semester. Interns will complete evaluation forms that
document their experience and internship supervisors will complete forms to evaluate the intern’s performance.
These forms serve two purposes. First, supervisor ratings of interns are considered in the assignment of a grade. Second, intern
ratings will guide decisions whether to approve future internship applications with the sponsoring agency/organization. Third, the
Assistant Dean of Undergraduate Programs will utilize the forms to conduct mid-semester site visits and/or inquiries with the
supervisor about the intern’s performance.
Internship Compliance: Employer Compliance with anti-discrimination and workplace safety statues by Internship Sponsor Site:
In accepting students for internships, (I), _________________________________ understands that School of Public Affairs and
Administration (SPAA) at Rutgers University –Newark expects that internship sites will fully comply with applicable federal, state,
and local laws relating to workplace safety and to discrimination in the workplace.
(I) ____________________________________ is committed to equal employment opportunity, affirmative action, and
nondiscrimination on the basis of race, color, national origin, gender, and marital status, age, disability, and veteran status. This
commitment includes equal opportunity and non-discrimination on the basis of sexual orientation and compliance with the American
Disabilities Act, which prohibits discrimination on the basis of disability in the workplace.
Acknowledgement: Agreement is not considered valid unless signed by student and site supervisor.
This agreement does not entitle the intern to a job at the conclusion of the internship period.
Student Signature: ______________________________________________________
Date: ________________
I agree to provide service during the specified hours to the organization/agency to the best of my ability. I agree to display the
Utmost professional behavior expected of a SPAA undergraduate student.
Supervisor Signature:____________________________________________________
Date:________________
I agree to provide the student with an opportunity to gain knowledge and develop an understanding of a specific organization
Function. I agree to supervise activities and provide feedback for professional growth
For Department Use Only:
Eligibility Criteria Completed:
Yes
No
Other, ______________________________________
Study Abroad Internship Location: ____________________________________________________________
Term/Year: __________________
Index #: __________________________
SPN: _______________________
Comments: _______________________________________________________________________________________________________
Authorized: ______________________________________________________________
Date: _______________________
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Service Learning Internship
Evaluation and Assessment Forms
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Mid-Semester: Student Performance Evaluation Form (Internship Site Supervisor must complete the student evaluation form).
Student’s Name: __________________________________________________
Internship Supervisor Name: _________________________________________
Internship Supervisor Signature: ______________________________________
RUID: __________________________
Start Date: ______________________
End Date: ____________________
Return Form to Service Learning Seminar Faculty/Instructor
Relations with Others:
□ Works exceptionally well with others
□ Works well with others
□ Indicates average skills in working with others
□ Has difficulty working with others
Judgment :
□ Excellent in making decisions
□ Above average in making decisions
□ Usually makes the right decision
□ Consistently uses poor judgment
Ability to Learn:
□ Learns very quickly
□ Learns quickly
□ Average in learning
□ Did not pick up tasks quickly
Computer Literacy Skills:
□ Excellent
□ Above Average
□ Average
□ Not satisfactory
Communication Skills:
□ Excellent
□ Above Average
□ Average
□ Not satisfactory
Attendance
□ Regular
□ Irregular
Overall Performance
Quality of Work:
□ Excellent
□ Above Average
□ Average
□ Not satisfactory
Dependability :
□ Excellent
□ Above Average
□ Average
□ Not satisfactory
Attitude
□ Extremely interested and independent
□ Very interested and independent
□ Average interest and independence
□ Definitely not interested and independent
Professional Appearance and Behavior:
□ Excellent
□ Above Average
□ Average
□ Not satisfactory
Initiative:
□ Self-Starter (No Direction Needed)
□ Need Modest Direction
□ Need Direction
□ Had to Monitor Daily
Punctuality
□ Regular
□ Irregular
□ Excellent
□ Above Average
□ Average
□ Below Average
□ Not satisfactory
Additional Comments: ____________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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End of Semester: Student Performance Evaluation Form
Internship Site Supervisor must complete the student evaluation form).
Student’s Name: __________________________________________________
Internship Supervisor Name: _________________________________________
Internship Supervisor Signature: ______________________________________
RUID: __________________________
Start Date: ______________________
End Date: ____________________
Supervisors need to provide comments in the following areas. Please provide constructive feedback based on the
assessment given on the mid-term evaluations. Please note if students’ performance change since the mid-semester
evaluations were completed.
Return Form to Service Learning Seminar Faculty/Instructor
Relations with Others:
Quality of Work:
Judgment :
Dependability :
Ability to Learn:
Attitude:
Computer Literacy Skills:
Professional Appearance and Behavior:
Communication Skills:
Initiative:
Attendance
Punctuality
Overall Performance:
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Mid-Semester: Internship Site Performance Evaluation Form (Student intern must complete site evaluation form).
Student’s Name: __________________________________________________
Internship Supervisor Name: _________________________________________
Student Signature: _________________________________________________
RUID: __________________________
Start Date: ______________________
End Date: ____________________
Student interns need to complete the internship site evaluation form about your internship experience and quality of
organization/agency.
Return Form to Service Learning Seminar Faculty/Instructor by Mid-semester
Briefly describe what you have accomplished thus far:
Have you made a contribution to the agency/organization? Yes or No? Why or Why Not?
How do your responsibilities align with the mission of the organization?
Which Public and Nonprofit Administration course(s) prepared you most for this internship? Explain
Have you experienced any challenges or obstacles in completing your internship? Explain
Have you met other administrators, executive leadership, or board members? Yes or No? Explain
Have your job responsibilities or work plan been modified? If yes, explain.
Is your supervisor satisfied with your progress? Yes or No? Explain
Would you recommend this internship site to other students? Yes or No? Explain
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End of Semester: Internship Site Performance Evaluation Form (Student intern must complete site evaluation form).
Student’s Name: __________________________________________________
Internship Supervisor Name: _________________________________________
Student Signature: _________________________________________________
RUID: __________________________
Start Date: ______________________
End Date: ____________________
Student interns need to complete the internship site evaluation form about your internship experience and quality of
organization/agency.
Return Form to Service Learning Seminar Faculty/Instructor by Mid-semester
Name the final projects/deliverable(s) submitted to organization:
What was the impact of your presence to the agency/organization? Explain
Do the organization/agency remain constant to its mission? Explain
Which Public and Nonprofit Administration course(s) prepared you most for this internship? Explain
Have you experienced any challenges or obstacles in completing your internship? Explain
Have you met other administrators, executive leadership, or board members? Yes or No? Explain
Has this internship prepared you for your career interests? Explain
Where you satisfied with your supervisor’s performance? Yes or No? Explain
Would you recommend this internship site to other students? Yes or No? Explain
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Student Name: _______________________________________ RUID: ________________________________
Organization/Agency: _________________________________ Term/Year: ____________________________
Internship Job Title:____________________________________
Service Learning Internship Contract Checklist:
o Part 1 – Student Service Learning Contract
o Part 1 – Student Service Learning Questionnaires
o Part 1 – 3-5 Learning Goals/Objectives
o Part 1 – Student Signed Agreement
o Part 2 – Student Time Sheet
o Part 3 – Internship Learning Agreement for Site
o Part 4 – Assessment and Acknowledgement Signed
o Resume
o Internship Job Description/Job Letter Offer
o Raidernet Confirmation
o Mid-Semester Student Performance Evaluation
o End of Semester Student Performance Evaluation
o Mid-Semester Internship Site Evaluation
o End of Semester Internship Site Evaluation
o Contract Approved
Service Learning Internship I or II
Date Submitted: _______________________
Date Submitted: ________________________
Date Submitted:_________________________
Date Submitted: ________________________
Date Submitted: ________________________
Approval Date: _________________________
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