Establishing secure connection…Loading editor…Preparing document…

Internship Waiver Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

INTERNSHIP WAIVER FORM

Student Information

Date of Birth:    Student ID:

Parent / Guardian (if applicable)

Relationship:    Phone:

Internship Placement Details

Supervisor:    Supervisor Phone:

Internship Start Date:    End Date:    Weekly Hours:

Paid internship    Unpaid internship    If paid, amount:

Emergency & Medical Information

Emergency Contact Phone:    Relationship:

Insurance & Background Checks

I maintain personal health insurance while participating in the internship.

I consent to any background check required by the host organization as a condition of placement.

Waiver, Release, and Assumption of Risk

In consideration of being allowed to participate in the internship placement described above, the undersigned acknowledges and agrees to the following terms, which constitute a binding legal agreement:

1. Assumption of Risk: I understand that participation in an internship may involve inherent risks, including but not limited to travel to and from the site, activities required by the host organization, and interactions with equipment, personnel, or the public. I voluntarily assume all risks of injury, illness, or property loss arising from participation in the internship.    Initials:

2. Release of Liability: I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge the educational institution, its trustees, employees, agents, and representatives, and the host organization and its agents, from any and all claims, demands, actions, or causes of action, whether known or unknown, arising out of my participation in the internship, except for claims arising from gross negligence or willful misconduct.    Initials:

3. Indemnification: I agree to indemnify and hold harmless the institution and the host organization from any loss, liability, damage, or cost they may incur due to my negligent or intentional actions during the internship, including attorney fees and costs of defense.    Initials:

4. Medical Treatment Authorization: If I am injured or require medical attention while participating in the internship and am unable to give informed consent, I authorize the host organization and institution to secure such medical treatment as deemed necessary. I understand that I am responsible for any costs incurred for medical treatment not covered by my insurance.    Initials:

5. Compliance with Policies and Laws: I agree to comply with all host organization policies, safety rules, instructions from supervisors, and applicable laws. Failure to comply may result in removal from the placement without refund or academic credit.    Initials:

6. Confidentiality and Intellectual Property: I acknowledge that I may have access to confidential information or intellectual property of the host organization. I agree to protect such information and to assign any intellectual property rights created in the scope of the internship in accordance with host organization policies, if required.

7. Photo and Publicity Release: I authorize the institution and host organization to photograph or record my participation and to use such media for educational or promotional purposes unless I opt out below.    I opt out of photo/publicity release

8. Severability and Governing Law: If any provision of this agreement is found invalid or unenforceable, the remaining provisions will remain in full force. This agreement shall be governed by the laws of the state in which the educational institution is located.

Acknowledgments and Consents

By checking the boxes below and signing, I acknowledge that I have read, understand, and agree to the terms of this Internship Waiver Form.

I have read and understand the Waiver, Release, and Assumption of Risk.

I authorize emergency medical treatment as described above.

Additional Information

Certification of Age / Consent

I certify that I am 18 years of age or older and am signing on my own behalf.

I am the parent or legal guardian of the named student and I consent to the student’s participation and agree to the terms on behalf of the minor.

Participant / Parent or Guardian:

Signature:

Date:

Enter text✕

What an Internship Waiver Form Is and When It's Used

An Internship Waiver Form is a written agreement where an intern (or the intern's guardian when required) acknowledges risks, releases certain claims, and confirms understanding of internship terms such as unpaid status, confidentiality, or equipment use. Employers, academic programs, and host organizations commonly use this document to record consent, limit liability, and set expectations before the intern begins work. Content and enforceability vary by state and by whether the intern is a minor; include clear dates, parties, scope of waiver, and signature blocks for all required signers.

Why an Internship Waiver Form Matters for Risk Management

A clear waiver documents informed consent, defines responsibilities, and helps reduce litigation risk when combined with compliant policies. Ensure the waiver is reasonably drafted, not overbroad, and aligned with federal and state labor laws to preserve enforceability under ESIGN and UETA where electronically signed.

Why an Internship Waiver Form Matters for Risk Management

Who Typically Completes an Internship Waiver

Organizations, academic programs, and interns use this form to set expectations before work begins.

  • Employers and host organizations — HR or legal teams prepare waivers and retain executed copies for records and compliance.
  • Educational institutions — career services or internship coordinators attach waivers to placement agreements and verify parental consent for minors.
  • Interns and guardians — signers acknowledge terms, health and safety notices, and any voluntary/unpaid status.

Accurate completion and appropriate signatures (including guardian or notarization when required) keep the agreement enforceable and administratively useful.

Step-by-Step: Complete and Execute the Waiver

Follow this sequence to prepare, sign, and store a compliant internship waiver.

  • 01
    Draft Details: Enter party names, scope, and dates; include emergency contact.
  • 02
    Review Legal Terms: Ensure limitations are reasonable and not contrary to labor law.
  • 03
    Obtain Signatures: Collect intern (or guardian) signature and any required witness or notarization.
  • 04
    Store Record: Save signed copy and audit trail to HR or program files.

Core Sections to Include in a Professional Internship Waiver

A well-constructed waiver is concise but covers essential legal and administrative points to reduce ambiguity and support compliance.

Parties

Identify the intern, any guardian, the host organization, and any third-party supervisors. Include legal entity names, addresses, and contact details for clear attribution.

Duration

State the internship start and end dates and whether the arrangement may be extended or terminated early, plus notice requirements for termination.

Risk Acknowledgment

Describe foreseeable risks associated with tasks or locations; require the intern to acknowledge understanding and assume specified risks consistent with applicable law.

Release Language

Limit claims released to those specified and avoid overly broad waivers of negligence where state law may invalidate such provisions.

Confidentiality/IP

Include clauses covering confidentiality, intellectual property assignment or licensing, and expectations for return of proprietary materials after the internship.

Signatures and Authentication

Provide clear signature blocks for all parties, record signing dates, and specify witness or notary requirements and acceptable electronic signature methods.

Required Data Elements to Capture

Intern Name: Full legal name
Guardian Details: Name and contact for minors
Organization: Host legal entity
Internship Dates: Start and end
Emergency Contact: Name and phone
Signature Data: Signed name and date

Online Customization Options to Include

When publishing the waiver as a fillable online form, include conditional logic and mandatory validations to minimize incomplete submissions.

Conditional Fields

Show guardian fields only if the intern is under 18; use conditional validation to prevent skipped required entries and reduce follow-up.

Date Validation

Enforce MM/DD/YYYY formats and logical date ranges (start before end) to avoid ambiguous period definitions in records and reporting.

Required Initials

Add initial fields for key clauses (risk acknowledgment, confidentiality) so signers explicitly confirm critical terms instead of relying only on a final signature.

Audit Trail

Capture signer IP, timestamp, and method of authentication to support attribution and record retention for future disputes.

Configuring an Online Waiver Workflow

Map form fields and routing before sending to ensure correct approvals and secure storage.

Field Configuration
Signature Field Required; set signer role to Intern or Guardian
Authentication Email plus optional SMS code for higher assurance
Routing Route to HR or coordinator after intern signs
Storage Save to secure HR folder with audit trail

Where to Send or File the Completed Waiver

Decide a single authoritative storage location and distribution path to maintain chain of custody and easy retrieval.

  • HR Records: Primary location for executed waivers and personnel files
  • Academic Coordinator: If tied to coursework, send copy to the institution's internship office
  • Supervisor: Provide supervisor a redacted copy for on-site use
  • Legal Counsel: Forward if waiver contains novel or high-risk clauses

Digital Signing and eSubmission Considerations

Choose an eSignature platform that supports required authentication and secure storage for personnel records.

  • Authentication: Email, SMS, or stronger methods
  • Document Formats: PDF and DOCX accepted
  • Integrations: Connect to HRIS and cloud storage

Ensure the platform supports ESIGN/UETA compliance, audit trails, and any industry-specific controls (for example, HIPAA BAA when health data is included).

Timing: When to Provide and Return the Waiver

Establish deadlines tied to onboarding to ensure waivers are executed before the intern begins duties and recorded promptly.

Before Start Date:

Provide waiver at least 7 days before first day

Return Deadline:

Require signed form 48–72 hours before orientation

HR Processing:

Process and file within 3 business days of receipt

Notarization Window:

Obtain notarization prior to first day if required

Record Retention:

Store per retention policy immediately after signing

Common Mistakes to Avoid When Preparing a Waiver

  • Using overly broad release language that courts may find unconscionable and therefore unenforceable.
  • Failing to obtain parental or guardian consent for interns under state age thresholds, which can invalidate the waiver for minors.
  • Omitting clear dates or signatory attribution, making it difficult to prove who signed and when in a dispute.
  • Not retaining an audit trail for electronic signatures, weakening evidence of consent and potentially violating ESIGN disclosure requirements.

Key Legal Risks and Potential Consequences

Invalid Waiver: Unenforceable
Labor Claims: Wage disputes possible
Privacy Breach: HIPAA or FERPA risk
I-9 Errors: Compliance fines
Insurance Gaps: Denied coverage
Data Loss: Evidence unavailable

eSignature Vendor Comparison — Pricing and Key Capabilities

Compare basic pricing and capability markers for high-level vendor selection when collecting internship waivers electronically; signNow is listed first per vendor comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes Depends
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Real-World Examples of Electronic Waiver Use

Organizations across sectors use electronic document platforms to collect waivers and maintain compliant records.

Martin Properties — Field Interns

The company moved onboarding online to collect field internship waivers quickly

  • Used mobile signing on-site to capture consent and safety acknowledgment
  • The result: consistent documentation, faster turnaround, and easier retrieval for incident follow-up and compliance checks.

Fertility Centers of Illinois — Clinical Interns

Clinical placements required privacy acknowledgements and training attestations

  • Electronic workflows included role-based access and audit trails
  • This ensured HIPAA-sensitive clauses were tracked and that signed waivers were available to supervisors and compliance teams.

Frequently Asked Questions and Troubleshooting

Answers to common questions about enforceability, signatures, minors, notarization, and storing internship waivers.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users