Community Development Majors: Form B

Complete this form immediately after accepting a position which you will use for your internship credits. The form is required before you can begin counting hours toward the required 400 hours for RPTS 484. Supervisor name and e-mail are used to request mid-term and final performance evaluations. If you have questions or need further information contact the RPTS Internship Coordinator, Mrs. Susan Scott, at
    To view the Requirements & Guidelines, paste the following URL into a web browser window:
    These courses are pre-requisites to RPTS 484 (Internship), so you must complete them prior to the beginning of the semester in which you are doing your internship.
  • Name of company, agency or organization
  • Prefix = Mr., Ms., Dr., etc.; if you do not yet have supervisor information, e-mail it to Mrs. Scott ASAP.
  • Type a list or brief overview of the position's main duties based on the information you have received thus far.
  • Briefly explain which skills you expect to develop, and how the responsibilities or opportunities of the position will enable you to build these capacities. The internship should promote all or the majority of the following skills and capacities: 1) Reasoning, communication, and analytic skills; 2) Planning, programming, and management skills; 3) Grant writing skills; 4) Leadership and critical thinking skills; and 5) Data analysis and interpretation skills.
  • Parent/Spouse/Significant Other whom the department would be able to contact during your internship if we were unable to reach you or there was some emergency.

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