Academic Internship/Co-op Verification Form
 
Site Supervisors: Please utilize this form to report student specific experiential opportunity information
so that they may be registered for their academic experience.
 
 Questions? Contact Tina (Christina) Cooper, Site Coordinator
at tina.cooper@oswego.edu or (315) 312-3693.
 
PLEASE NOTE: THIS FORM MAY NOT BE COMPLETED BY THE STUDENT
AND MUST BE COMPLETED BY THE INTERNSHIP/CO-OP SUPERVISOR.
 
Company/Site Information
Are you a SUNY Oswego Alum? *
**Direct contact information is required in the case that more information from the site supervisor is needed. The individual completing this form should be the direct mentor and evaluator of the student.**
Position Information
Select Opportunity Type: *
Please select the option that applies to your situation: *
Note: This reporting form is not the same as posting an opportunity for students to apply to. Want to post a vacant internship or co-op with SUNY Oswego students? Register your new hireOz by Handshake employer account and opportunity by clicking here!
Student Specific Information
During which upcoming term will this student (or these students) complete this opportunity? *
Is this a paid experience? *
Please note: If you are looking to personally supervise more than 3 students, please contact Tina Cooper at (315) 312-3693 to discuss the internship/co-op program to have this approved.
Student 1 
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Student 2
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Student 3
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Student 4
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As an organization offering an unpaid opportunity, please review the requirements set forth by the U.S. and New York State Departments of Labor:

Internship Programs Under the Fair Labor Standards Act (U.S.)

Wage Requirements for Interns in For-Profit Businesses (NYS)

Wage Requirements for Interns in Not-For-Profit Businesses (NYS)

By checking below, you agree that your organization will abide by these requirements. *
Position Description: what tasks will the student(s) perform? (Please be detailed)
By submitting this position description form you are affirming that you have read and agreed to the employer's responsibilities outlined on the EXCEL: Experiential Courses and Engaged Learning website. In the case that the SUNY Oswego student(s) selected for this opportunity submits photo testimonial of their experience, submission of this form affirms permission from the site to utilize these materials.
Thank you for your support of our experiential learning program!
 
 
EXCEL:  Experiential Courses and Engaged Learning
State University of New York College at Oswego
145 Marano Campus Center
Oswego, NY 13126
Phone: (315) 312-2151
Fax: (315) 312-5406
Email: excel@oswego.edu
Web: www.oswego.edu/excel