Please complete this form after reviewing the Learning Objectives Agreement that was submitted by your student intern (link provided above). 


If you have any concerns about this process, please contact the WWU Internship Facilitator at 509-527-2664, or send an email to HeidiM.Roberts@wallawalla.edu.

Student Intern Name*
Internship Supervisor*
I have reviewed this student intern's Learning Objectives (link provided above) and verify their accuracy.*
Today's Date*
Use your mouse or finger to draw your signature above, for validation.