Internship Agreement

Cornell College itself does not control the way in which this experiential learning opportunity and the below-referenced internship site (the "Internship Site") are structured to operate. In providing support for this internship, the College affirms that, to the best of its judgment, the experience is an appropriate curricular option for students in a liberal arts program of study but makes no other assurances, expressed or implied, about any travel and living arrangements the student has made. Cornell College does not knowingly approve internship opportunities which pose undue risks to their participants. However, any internship or travel carriers with it potential hazards which are beyond the control of the College and its agents or employees.

My signature below signifies that I understand the following expectations, policies, and procedures, and that I agree to abide by them.

Internship Expectations

1. I accept a monetary expense allowance in the amount previously agreed upon by myself and the Berry Career Institute to help defray my costs associated with housing, transportation, food, and supplies related to the internship and that by accepting these funds I will use the expense allowance for the aforementioned purpose. I understand that I am personally responsible for expenses I incur as part of the internship beyond the amount of the monetary expense allowance provided by the Berry Career Institute.

2. I recognize that if I choose not to participate in the internship or if I am released from my internship site for any reason, I will reimburse the Berry Career Institute for the full amount of the monetary expense allowance I was awarded within 30 days.

3. I agree to take digital photos of myself in my work environment while at the internship site, post 3-4 blog entries throughout my internship, and submit copies of photos to the program within 30 days of the conclusion of my internship.

4. I agree to submit a 3-5 sentence post-internship report within 30 days of the conclusion of my internship. I understand this testimonial should include a short reflection on the experience, how it influences my future academic or professional plans, and how Berry Career Institute funding helped me complete this experience.

5. I agree to submit a proposal and reflection through the Ingenuity in Action program. Ingenuity in Action encourages students to complete and reflect upon their experiences in six different categories: Creative Expression, Civic Engagement, Global Connections, Leadership, Professional Exploration, and Research. Each category has different learning outcomes and reflection prompts. The proposal should be submitted for one of the six categories according to the instructions found at cornellcollege.edu/ingenuity-in-action. I agree that the proposal must be submitted and approved before funds will be disbursed, and a final reflection on what I learned during my internship is required to be submitted on the day final grades are due within two weeks of when the internship is completed.

6. If requested, I agree to complete an on-campus presentation at the Fall Internship Showcase, take part in student panels as part of the Berry Career Institute, and/or give a testimonial on behalf of the Berry Career Institute.

7. I recognize that I must be a student in good standing and continuously enrolled at Cornell College during my internship experience and that I must be enrolled for at least one course on campus after the conclusion of the internship (exceptions are made in the senior year and for extreme personal hardship). If I fail to meet this expectation, I will reimburse the Berry Career Institute the full amount of the monetary expense allowance I was awarded.

General Expectations

8. I am expected not only to participate fully in the activities required as part of the internship, but also to cooperate with my internship supervisor and faculty sponsor during the entirety of the internship. I am expected to be prompt for all activities required of the internship and shall abide by all the rules and regulations required of regular employees of my internship site. I understand that the responsibilities and circumstances of an off-campus internship require a standard of professional decorum that may differ from that of Cornell College. Therefore, I indicate my willingness to understand and conform to the professional standards of my internship site.

9. I understand that it is important to the success of the Berry Career Institute internship program and the continuance of future internships that interns observe standards of conduct that would not compromise Cornell College in the eyes of individuals and organizations with which it has dealings, and I acknowledge the responsibility of Cornell College and the staff of the Berry Career Institute to set rules and interpret conduct for this purpose.

10. I agree that should Cornell College and the staff of the Berry Career Institute decide that I must be terminated from my internship because of conduct that might bring the program into disrepute or the internship site into jeopardy, that decision will be final and may result in returning the monetary award and/or the loss of academic credit.

11. I agree to follow all instructions and guidelines put forth by the supervisor. If, for any reason, I am asked to withdraw from or leave the internship site, I acknowledge that Cornell College is not responsible for any costs related to my withdrawal from the program.

12. I am responsible for my own actions at all times and, being an ambassador for Cornell College, will behave in a professional manner. This includes, but is not limited to, abiding by the rules and regulations of Cornell College and any host sponsor or organization. Additionally, if I consume alcohol or other substances, they must be legal for me to consume and will be done so with professionalism and appropriate moderation in mind.

13. International experiences: I agree to provide a written statement from a qualified health professional who reports that I am in good health, may travel as required, and am free from any physical or mental ailment or disability requiring medical, surgical, or other care of treatment which might endanger the health or safety of myself or those with whom I may come in contact. I understand that my monetary expense allowance may not be disbursed until after I have met this expectation. I also understand that a credit card or cash is often the only way to receive medical care in a foreign country.

14. I acknowledge that my participation in this program is entirely voluntary and such participation will require transportation and habitation and that my participation may subject me to risks relating to my personal health and safety. I further acknowledge that I am traveling at my own risk and will take all precautions that I deem necessary for my personal safety and well-being including, but not limited to, medical precautions needed prior to the start of service (i.e. vaccinations, dental, allergy medications, etc.).

15. I hereby represent and warrant that I have a policy of comprehensive health and accident insurance, including medical evacuation coverage (if an international internship), throughout the duration of the internship for injuries or illnesses I sustain or experience while participating in the internship, and that the documentation is on-file with the Student Health Center. I further authorize Cornell College or any of its agents to provide or authorize any reasonable, incidental and/or emergency medical treatment, and I accept responsibility to pay for such treatment, except for costs arising from an injury that I sustain that is the direct result of Releasees' (see Acknowledgement of Risk & Release) negligence or gross negligence or misconduct.

16. In case of an emergency, I grant permission to the Student Health Center to release information to Berry Career Institute staff as deemed necessary. I further grant Cornell permission to contact the following individual(s) and discuss any medical or personal situation I may have encountered during the internship:

17. I accept the responsibility to pay for any medical treatment I may need during my internship experience, including but not limited to incidental and emergency treatment.

18. I understand that if I use my personal vehicle for the benefit of the organization with whom I perform my internship; Cornell College has no liability for injury or property damage which may result from that use. I agree to rely solely on my personal vehicle insurance coverage and on any insurance coverage provided by the internship site.

19. I accept the responsibility to pay for any additional costs, expected or unexpected, if I choose to extend my trip or delay my trip departure, including incidents when my trip might be delayed or extended due to personal injury, illness, family emergencies, or any other event that may interrupt travel related to my internship experience.

Acknowledgement of Risk and Release

20. I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby release and forever discharge Cornell College including its governing board, trustees, directors, officers, employees, and any students, agents or volunteers acting at Cornell College's direction (collectively referred to as "Releasees") from any and all liability whatsoever for any and all damages, losses or injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys' fees, which arise out of, result from, occur during or are connected in any manner with my participation in the internship, any related or independent travel, and any activities, excursions, side trips or field trips in which I participate during the Program UNLESS THE INJURY, DAMAGE OR DEATH IS CAUSED BY RELEASEES' SOLE NEGLIGENCE, GROSS NEGLIGENCE OR INTENTIONAL MISCONDUCT.

21. I acknowledge that participation in activities during the time of the internship involves exposure to various risks (including but not limited to vehicle accidents, illness, stressful environment, etc.)

22. Cornell College expressly disclaims liability for actions of third parties, which includes but is not limited to on-site supervisors, co-workers, host families, lodging providers, students, agents or volunteers who are not acting under the direction and control of Cornell College. I release Releasees from any and all liability, including any and all claims, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys' fees), arising from any injury, damage or death that I may suffer as a result of actions of any third parties who are not Releasees.

23. I acknowledge that all transportation providers are engaged as independent contractors and not as agents or employees of Cornell College. In addition, I acknowledge that Releasees shall not be liable for participants who choose to travel independently of or extend travel beyond that of the arranged internship.

24. I assume all risk and financial responsibility for any loss or injury to myself that may result from my actions or omissions, including, but not limited to, any undisclosed physical or emotional problems that might impair my ability to complete the internship, and I release Cornell College from any liability for injury to myself or damage to or loss of my possessions.

25. I understand that Cornell College reserves the right to make cancellations, changes, or substitutions to the internship or financial stipend in case of emergency, changed conditions or in the general interest of the Berry Career Institute.

26. International experiences only: I understand that a credit card or cash is often the only way to receive medical care in a foreign country.

I hereby agree that this Agreement shall be construed in accordance with the laws of the State of Iowa. If any term or provision of this Agreement shall be held illegal, unenforceable, or in conflict with any law governing this Agreement, the validity of the remaining portions shall not be affected thereby.

I have read this Agreement, understand its contents, and agree to abide by each of the terms and conditions of this Agreement. I have had a chance to ask questions regarding this consent form and have had those questions answered to my satisfaction. I understand that I may seek legal counsel to my own choosing to fully explain any terms of this Agreement. I understand that internship funds will not be dispersed until this Agreement is signed and submitted to the Berry Career Institute.

I understand that Cornell College reserves the right to make cancellations, changes or substitutions in case of emergency, changed conditions or in the general interest of the Berry Career Institute experiential learning funding program.


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