CSP Individual Internship Agreement - United States Army

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CSP Individual Internship Agreement*The CSP Individual Internship Agreement is to be submitted with the Soldier Participation Memo*Part I: Soldier Overview (To be completed by Soldier)1. Soldier Information:a. Rank: Name:b. Assigned Installation:2. Overview of Company: Explain Company Background (headquarters location, years inbusiness, accreditations- if any, number of employees, business/occupational industry)3. Overview of Proposed Program: Explain the Program Format (position/careertraining is provided for, expected knowledge, skills and abilities required upon acceptance,program length, how will skills learned be measured, expected salary, funding for training,any out-of-pocket expenses)As of 27 AUG 2020

4. Training Specifics: Include/attach training plan, if available. (List training methods(virtual, in-person, remote). List expected topics to be trained on to include the specificknowledge, skills, and abilities (KSAs) you will be taught during the internship training.How will this training help you meet your expected qualifications for job placement?)I have contacted the prospective employer to obtain the information listed in blocks 2-4 aboveand verify I understand and believe I can successfully complete all necessary portions of theproposed training.Digital Signature:As of 27 AUG 2020

Part II: Employer Individual Internship Agreement (To be completed by Employer)By signature of this Agreement, the Employer agrees: To teach the CSP Intern job responsibilities, new skills and practices specific to thebusiness/industry; CSP Interns will work no more than 40 hours in any work week; CSP Interns shall not receive compensation of any kind from the Employer; The Internship is for the benefit of the CSP Intern and even though the internship includesactual operations of the employer, training is similar to training which would be given in aneducational environment; CSP Interns shall not be required to purchase any materials or be charged a fee as arequirement for the internship; The CSP Intern shall not be involved in the selling of goods or services to any Soldier, or afamily member of a Soldier junior, in rank, grade or position to the Soldier Intern, per Par. 2205, Joint Ethics Regulation. For the purpose of this provision, goods and servicesincludes, but is not restricted to, vehicles, recreational vehicles, real estate, rentalproperties, time shares, investment products, life insurance, health insurance, vehicleinsurance, property and casualty personal insurance, business and commercial insurance; No participant will be required or permitted to work or train in buildings or surroundings underworking conditions which are unsanitary, hazardous, or dangerous to the participant's healthor safety. To take daily attendance of the CSP Intern and report attendance to CSP Representativeupon request The Employer shall notify the CSP Representative immediately if the CSP Intern is injuredat the worksite.This CSP Internship may be terminated when, for any reason, it is determined to be in the bestinterest of the Intern, USAG or the Employer. The termination reason and effective date will bereported to the others by the terminating party immediately.Employer POC Name (First and Last):Employer Phone Number: EmployerEmail Address:Digital or Written Signature:Date:As of 27 AUG 2020

Part III: Installation JAG Review (To be completed by JAG Officer)1. Soldier is requesting participation in a CSP Individual Internship as noted in Part I and IIThe Approving Authority Servicing Legal Office has conducted a legal review of theSoldier's Internship packet and finds no legal objections to their participation.Legal Review is AttachedLegal Review Comments listed below:The Approving Authority Servicing Legal Office has conducted a legal review of theSoldier's Internship packet and finds legal objection(s) to their participation.Legal Review is AttachedObjection(s) to participation include:2. Rank/Name of JAG Officer Reviewing Packet:Phone Number: Email:Installation:Digital Signature: Date:As of 27 AUG 2020

Part IV: IMCOM Review (To be completed by HQ IMCOM or CSP Regional Coordinator)Jamie C. Williams1. Name of IMCOM 66-0881Phone Number:Email:HQ IMCOMInstallation:Comments: (highlights of discussion and/or site visit with internship provider):A review of the Individual Internship Agreement has been completed. Attendance inCSP has been approved per the signature of the approval authority shown on theaccompanying CSP Soldier Participation Memorandum.Digital Signature: Date:As of 27 AUG 2020

Part III: Installation JAG Review (To be completed by JAG Officer) Legal Review is Attached Legal Review Comments listed below: The Approving Authority Servicing Legal Office has conducted a legal review of the Soldier's Internship packet and finds legal objection(s) to their participation. Legal Review is Attached

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School Site Approval Data Sheet . 18-19 School Site Internship Agreement Form . 20-22 Outline of Planned Internship Experience . 23-24 Site Supervisor Evaluations Mid-term Internship Site Supervisor Evaluation Form . 25-35 Final Internship Site Supervisor Evaluation Form. 36-45 Evaluation of School Counseling Internship Site. 47 Summary Record of Internship Hours & Supervisory Data. 48 .

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o Turn in your daily log. o Turn in your written summary of the internship experience along with a reflection of your experience. Each a minimum two pages. o Discuss the internship with your advisor (You may be asked to provide a presentation of your internship experience to a group). o Sign and return the checklist upon completion of internship.

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6. Internship Placement Report 7. Internship Accountability Report The following documents are required to be submitted to the Office of Career Readiness/Work-Based Learning: 1. Internship Placement Report – October 1 and January 15 2. Internship Accountability Report