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Community Engagement & Social Change Concentration

For Supervisors

Practical Experience Supervisor Form

To arrange for internships, service learning, paid work, or volunteer community service, supervisors are asked to supply the following information before the student begins her work.

To see what qualifies for credit as a practical experience, please visit the Practical Experiences page.

Your Name
Your Organization
Organization Web Site
Your E-Mail
Name of Student

Please describe the projects the intern will be working on in as much detail as possible:

Please describe how the intern will be supervised and evaluated throughout her time. What meetings will she attend with you or other staff members?

Please type your name
Supervisor's electronic signature



If you have any questions about the Community Engagement and Social Change (CESC) concentration program, please contact the director of the CESC concentration at ccc@smith.edu.