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Internship Work Schedule

 The Internship Work Schedule must be completed before the student begins their job shadow assignment.

Name: ____________________________________

Telephone: __________________

Work Schedule
Hours Available: ___________________

Beginning Date: ________________

Days Per Week:
Mon Tues Wed Thurs Fri Sat Sun

Work Hours: From _______ to _______

Authorized Hours Per Day: _______

Lunch Break: _________ Breaktimes: Morning: ______

Afternoon: ______

Note: At least a 30-minute lunch hour must be taken if the student interns for more than four hours a day.


Name of Company: __________________________

Supervisor: __________________

Company Address: __________________________

Telephone: __________________