Internship Agreement Form

Internship Agreement Form

Parties and Recitals

This Internship Agreement (the Agreement) is entered into on between Employer Name: and Intern Name: .

Personal Information

Position Information

Start Date: Anticipated End Date: Total Expected Duration (weeks):

Paid stipend or wage    Unpaid (academic credit only)

Intern Duties and Responsibilities

The Intern will perform duties under the direct supervision of the Reporting Manager and will be expected to perform the following duties and learning objectives:

Employment History (Most Recent)

From: To:

Employment History (Prior)

From: To:

Education

References

Legal Terms and Notices

Classification: The parties agree that the Intern will serve as an intern and not as an employee for purposes of benefits eligibility, unless otherwise expressly documented in writing. The Intern understands that participation may be unpaid or paid as stated above and that enrollment in an academic credit program does not alter this classification.

Confidentiality and Proprietary Rights: The Intern will not disclose confidential information and agrees that all work product, inventions, discoveries, designs, developments and other creations conceived, developed or reduced to practice by the Intern during the internship related to Employer business are the exclusive property of the Employer. The Intern hereby assigns all right, title and interest in such intellectual property to the Employer and will execute documents reasonably necessary to effectuate that assignment.

Termination: Either party may terminate this Agreement at any time with or without cause upon written notice to the other party. Upon termination the Intern will promptly return all Employer property and confidential materials.

Background Checks and Authorization: The Intern consents to background checks, reference checks, and verification of academic credentials as required by the Employer. The Intern also authorizes previous employers and educational institutions to release information necessary for evaluating suitability for placement. The Intern may revoke this consent in writing; however revocation may affect continued eligibility for the internship.

Workers' Compensation and Insurance: The Employer's obligation to provide workers' compensation coverage for an intern will be determined in accordance with applicable law and Employer policy. The Intern is encouraged to maintain personal health insurance.

The Employer provides equal opportunity in all internship and employment practices without regard to race, color, religion, sex, national origin, disability, age, veteran status, sexual orientation, gender identity or any other protected characteristic under applicable law.

Acknowledgements and Authorizations

Applicant Certification: I certify that all information provided in this Agreement and accompanying documents is true, complete and accurate to the best of my knowledge. I understand that false statements or material omissions are grounds for termination of the internship or withdrawal of the offer.

Authorization to Contact: I authorize the Employer to contact the references and previous employers listed above and to obtain background, employment, education and criminal history information as permitted by law. I release any person and organization providing such information from liability for damages arising from furnishing such information.

Acceptance of Policies: The Intern agrees to comply with Employer policies, procedures and safety rules while participating in the internship program.

I consent to background checks and reference checks as described above.

I acknowledge that unless this Agreement expressly states a fixed-term, my participation is at-will and may be terminated by either party at any time with or without cause.

Applicant Certification Signature

By signing below, the parties acknowledge that they have read, understand, and agree to the terms of this Internship Agreement and that their signatures bind the parties to the terms herein.

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