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HomeMy WebLinkAboutExhibit• f p b gevila!1tuvntii J cJ • Ru'. d DFT The School Board of Miami -Dade County, Florida Internship Cooperative Agreement THIS COOPERATIVE AGREEMENT "Agreement" is entered into this , 20, by and between , ("Entity Name" Must be the same as listed at Florida Department of State Division of Corporations), and The School Board of Mlami-Dade County, Florida, (" M-DCPS"), a political subdivision of the State of Florida. Internship Provider Entity Name: Mentor Name:' Address: City;/ State / Zip: Telephone / Fax: Email: Program status (check one): Public El Private Non-profit ® Private For -profit Government / Municipal / State / Federal '(he School Board of Miami -Dade County, Florida Name: Miami -Dade County Public Schools / Office of CoJmmunity Engagement Address: 1450 N.E. 2nd Avenue, Suite 202 City / State / Zip: Miami, FL 33132 Telephone / Fax: 305-995-3050 / 305-995-2888 Email: asmartinez@dadeschools.net I. RECITALS 1. M-DCPS and Business Mentor want to provide M-DCPS senior high students with an appropriate internship program Career Experience Opportunity (CEO) or Honors and Executive Internship Program (HEIP) program to reinforce acquisition of employability skills; and 2. M-DCPS and Business Mentor want M-DCPS senior high students, "interns", to receive the related and support services necessary to obtain skills, experience, and knowledge to maximize employment opportunities. NOW, THEREFORE, in consideration of the premises and the mutual covenants and agreements herein contained, and other good and valuable consideration, the receipt of which is hereby acknowledged, the parties hereto agree as follows: II. RESPONSIBILITIES OF M-DCPS M-DCPS agrees: • To provide support for the internship experience as provided for in the Miami -Dade County Public Schools respective internship guide; • To arrange any meetings with school, regional center, or district -based personnel, as deemed necessary to the functioning of the program; • To maintain appropriate documentation and application of interns; • To select interns from eligible pool of students; Page 1 of 5 )2//7/".70:__, To be. ttevi std... 1. Uiltiainfiii1 ete, rifo • To provide an orientation program for interns and Business Mentor; 1'1 U • To provide on -site visitations for support and monitoring by M-DCPS staff, dap it.thrw 111. RESPONSIBILITIES OF BUSINESS MENTOR Business Mentor agrees: • to provide internship experience(s) for selected M-DCPS students as specified in the Miami -Dade County Public Schools respective internship guide; • to provide the necessary assements or evaluation as outlined in the internship guide; • to maintain attendance records / log sheet on -site and inform M-DCPS / Office of Community Engagement immediately via phone and/or email of unscheduled absences; • . to assure the safety of the interns while under their supervision; • to ensure students will intern only at the given place of business (no home based businesses or secondary sites are allowed). • to provide M-DCPS with a current set of its rules, regulations, and policies that directly affect the interns placed at the business site. Business Mentor shall acquaint the students with rules, regulations, and policies. Business Mentor reserves the right to refuse its services or to remove from its facilities any interns or M- DCPS employee who does not meet professional or other requirements of Business Mentor. IV. PARTIES AGREE THAT: A. RESPONSIBILITIES OF BOTH PARTIES 1. The schedule for interns while on -site at Business Mentor shall be planned jointly by M-DCPS, the Business Mentor and the student. Any changes in the schedule must be approved by all parties prior to implementation of a new schedule. 2. M-DCPS and Business Mentor shall both designate an individual who shall be available to answer all questions and assist in the implementation of this Agreement. 3. M-DCPS and Business Mentor agree that the students covered by the terms of this agreement are not Business Mentor's employees for the purpose of the Fair Labor Standards Act, as evidenced by the following; a. The training, even though it includes actual operation of the facilities of Business Mentor, is similar to that which would be given in a school; b. The training is for the benefit of the interns; c. The interns do not displace regular employees, but work under their close observation; d. Business Mentor, in providing the site for the program, derives no immediate advantage from the activities of the interns; e. The interns are not necessarily entitled to jobs at the conclusion of the training period; and f. The interns are not entitled to wages for the time spent in training in the program. B. TERM OF AGREEMENT; TERMINATION The term of this Agreement shall be from , 2n , and can be valid for up to three (3) years, through and including June 30, 20(15 16 17). Either party hereto may terminate this Agreement at any time by giving to the other party notice in writing at least 30 days prior to the intended termination date. Page2of5 tk4r,e, ro be, !` fie. C. COMPLIANCE WITH LAW DertFT Vs- 1n' ti , 1. M-DCPS and Business Mentor agree to comply with Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Fair Labor Standards Act, the Americans with Disabilities Act, and related regulations, and assure that they do not, and Will not discriminate against any intern because of or on the basis of gender, race, color, religion, ethnic or national origin, political beliefs, marital status, age, sexual orientation, social and family background, linguistic preference or disability. 2. Business Mentor agrees to adopt a background screening process that is consistent with having interns in the workplace, and consistent with M-DCPS guidelines. 3. This agreement shall be subject to Florida's Public Record Laws, Chapter 119, Florida Statutes. D. NO THIRD PARTY BENEFICIARIES The parties expressly acknowledge that it is not their intent to create or confer any rights or obligations in or upon any third person or entity under this Agreement. Nothing herein shall be construed as consent by an agency or political subdivision of the State of Florida to be sued by third parties in any matter arising out of any contract. E. CONFIDENTIALITY OF STUDENT INFORMATION Business Mentor understands and agrees that it is subject to all applicable federal and Florida laws and all School Board policies relating to the confidentiality of student records. Business Mentor further agrees to comply with the Federal Family Educational Rights and Privacy Act ("FERPA" 34CFR§ 99) and shall (i) use any personally identifiable student Information ("information") only as provided In this Agreement, (ii) maintain the confidentiality of the information and, (iii) return the information to the Agency upon termination of the Agreement. Business Mentor shall treat all information as confidential and will not disclose the information to any third party. F. INSURANCE M-DCPS and the Business Mentor agree to insure or self -insure their respective interests to the extent each deem necessary or appropriate. Upon written request, evidence of self insurance or insurance shall be furnished to either party. G. INDEMNIFICATION Indemnities (as hereinafY dried) against any ciai injury, ility, cost or ex • nse of .ever kind or way of lime `•n, att• eys fees and cou .osts property damage : +: ing out of or incidental t+ - Agreement by • on be. = of h B to be inde r ties The Sc members .fFicers and employees. indem►' the School Board f per mance or failure of •-. • the Business entor. :oar. f Miami -Dade ever, nothing here o -ny liabi r , or claim ar ormance of the School • u re ising out negligent following n mn3 y • - ens: ion, loss, dam - eluding, but bodily, jury or perf. , nee of this I e deemed Florida nd its I be deem + to ng out o neglige oard .or as a result of the u tb The School Board of Miami -Dade County, Florida does hereby agree to hold harmless and indemnify the Business Mentor to the extent of limitations included within Florida Statutes, Section 768.28, subject to the provisions in this act whereby the School Board shall not be held liable to pay a personal injury claim or property damage claim or judgment by any one person which exceeds the sum of $200,000, Page 3 of 5 4- Ir IP 1.' or any claim or judgments or portions thereof, which, when totaled with all other claims or judgments paid by the School Board arising out of the same incident or occurrence, exceeds the sum of $300,000 from any and all personal injury or property claims, liabilities, losses and causes of actions arising out or incidental to the negligent performance of this Agreement. However, nothing herein shall be deemed to indemnify the Business Mentor for any liability or claim arising out of the negligent performance or failure of performance of the Business Mentor or as a result of the negligence of any unrelated third party. I-1, MODIFICATION This Agreement may be modified or amended only in writing by mutual consent of both parties. GOVERNING LAW AND VENUE This agreement shall be construed in accordance with the laws of the State of Florida. Any dispute with respect to this agreement is subject to the laws of Florida, venue in Miami -Dade County. Each party shall be responsible for its own attorneys' fees and costs incurred as a result of any action or proceeding under this agreement J. NOTICES All notices or communication under this Agreement by either party to the other shall be sufficiently given or delivered as follows: In the case of notice or communication to Business Mentor: Name/Title: If designee, you must be authorized to sign on behalf of the entity. Company: Address: City, State & Zip: Phone: Email: In the case of notice or communication to M-DCPS: Miami -Dade County Public Schools Office of Community Engagement 1450 N.E. 2nd Avenue, Suite 202 Miami, FL 33132 305-995-3050 With a copy to; The School Board of Miami -Dade County, Florida Attn: Alberto M. Carvalho, Superintendent 1450 N.E. 2nd Avenue, Suite 912 Miami, FL 33132 And a copy to: The School Board of Miami -Dade County, Florida Attn: Walter J. Harvey, School Board Attorney 1450. N.E. 2nd Avenue, Suite 430 Miami, FL 33132 Page 4 of 6 T 6e rea(iistSc e &AiO fitat,ce.O 4, fa-wc -- NA -Pr Auttvi_cpa SIGNATORY FORM IN WITNESS HEREOF THE PARTIES HERETO HAVE CAUSED TO 13E EXECUTED BELOW THE SIGNATURES OF THE AUTHORIZED REPRESENTATIVES OF THE PARTIES HERETO WHO ARE FULLY AND DULY AUTHORIZED TO EXECUTE THIS AGREEMENT ON BEHALF OF THE RESPECTIVE PARTIES HERETO: For: Employer Program. Authorized Representative Name (Print) Program Authorized Representative Signature F:or: The School Board of Miami -Dade County, Florida Alberto M. Carvalho Title (Print) Date Superintendent's Name (Print) Superintendent's Signature Approved as to Legal Form and Legal Sufficiency: Date Attorney for School Board of Miami -Dade County, Florida Date Reviewed and Approved: Risk Management 1 Miami -Dade County Public Schools Date Please return two (2) signed original copies to: Miami -Dade County Public Schools Office of Community Engagement 1450 N.E. 2nd Avenue, Suite 202 Miami, FL 33132 Page 5 of 5 Miami -Dade County Public Schools Office of Community Engagement THE SCHOOL BOARD OF MIAMI-DADE COUNTY, FLORIDA Ms. Perla Tabares Hantman, Chair Dr. Lawrence S. Feldman, Vice Chair Dr. Dorothy Bendross-Mindingall Ms. Susie V. Castillo Mr. Carlos L. Curbelo Dr. Wilbert "Tee" Holloway Dr. Martin Karp Dr. Marta Perez Ms. Raquel A. Regalado Mr. Alberto M. Carvalho Superintendent of Schools Ms. Iraida R. Mendez-Cartaya Associate Superintendent Office of Intergovernmental Affairs, Grants Administration, and Community Engagement Ms. Lisa Thurber District Director Office of Community Engagement Ms. Arlene Martinez Director Office of Community Engagement Internship Program/Dade Partners Table of Contents Introduction 1 Credits &.Attendance 2 Becoming an Internship Provider 3 Roles & Responsibilities 4 Performance Evaluation 5 Program Calendar 201 4/201 5 6 Forms Student Internship Application 7 Student Placement Data Form 8 Required Student Procedures Intern Emergency Contact Sheet 9 10 Internship Log Sheet 11 INTRODUCTION Since 1958, the Internship Program has provided exciting opportunities for high school juniors and seniors in the Miami -Dade County Public Schools. Through a community - based internship, students are paired with community professionals to gain professional experience and firsthand knowledge in their intended collegiate fields of study. Enthusiastic mentors participate in the program and share their time and talents so that interns will have meaningful, career -related experiences. The internship is designed to give students real -life experiences in the world -of work. During this time, students will take on the roles and responsibilities of a valued member of a business organization. It is important that the student interns understand that their dress, punctuality, attendance, and behavior reflect well upon themselves and their parents, teachers, schools, and peers. The internship involves two individuals - an Educational Specialist and a Miami - Dade County Public Schools (M-DCPS) administrator to oversee the intern. The M- DCPS program staff oversees the internship, visits interns and internship providers, and assists in a successful internship. Thank you for providing our students with this experience, The Office of Community Engagement is available for support. If there are any questions, problems, concerns, or issues that arise, contact us at 305-995-1265 or Internships@dadeschools,net. 1 CREDITS To receive full credit for the internship program course, students must participate in the required hours at their internship site and must complete required assignments. • For one (1) credit, the minimum number of hours required is five (5) hours per week or forty-five (45) hours for the quarter. • For two (2) credits the student must complete ten (10) hours per week or ninety (90) hours for the quarter. ATTENDANCE • The internship student confers with his/her internship provider to establish a convenient time schedule. Internship providers and students are asked to be flexible. As situations change, schedules may need to be adjusted. The schedule must°Indicate the days of the week and the hours that the student will be at their internship site. • Students may not remain at their internship site after sundown, unless they have permission from their internship provider and parent/guardian. Students usually complete their hours during the regular school week. • Regular attendance and punctuality are critical. Students should not miss scheduled days at their internship site and should always arrive on time. If a scheduled day is missed due to a Miami -Dade County Public Schools (M-DCPS) excused absence, the student must inform the internship provider and mutually determine an appropriate time to make up the missed hours. For example, making up missed hours may be done by students attending their internship on any day not regularly scheduled. All make-up hours must be scheduled with the approval of the internship provider. The student must notify the internship provider prior to any absence or late arrival to their internship site. Failure to do so will affect the student's grade. • Students are not required to attend their scheduled internship day if it falls on a teacher planning day or holiday. However, the student may attend his/her placement on that day if prior arrangements have been made with the internship provider. Teacher planning days present a good opportunity to log additional hours and/or hours at a time of day when different activities may occur at the internship site. • During an extended illness or absence, the student and internship provider may make alternative arrangements. Students must notify their program administrators of any changes in their schedule and/or outline of proposed internship activities. • Monetary compensation to the student is not permitted. Time spent at the internship site may not be counted as volunteer or community service hours, unless special arrangements are made to acquire those hours after the internship requirement is fulfilled. *M-DCPS excused absences: Student illness, death in the family, observance of religious holiday, or school -sponsored event with prior approval by internship provider. 2 Becoming an Internship Provider Step 1: • Log In to Community Portal • Click on "Create an Account" • Proceed with "Registration Request" • Your username and password will be e-mailed to you Step 2: • Return to www.dadeschools.net/community • Log In to the Community Portal • Log In.withyour username and password • You can reset your password under "Password Management" Step 3: Click on "Internship Provider" • Complete the "Internship Provider Application" • You will receive an email with the steps for posting your internship positions once your application has been approved. 3 Roles and Responsibilities: As part of the registration process, the internship office will request that the internship provider execute a Cooperative Agreement as part of the procedures to host an intern. Visit http://communify.dadeschoois.net/linternship/pdfs/internship Cooperative Agreement.pdf to see a copy of the Cooperative Agreement. 1. Cooperative Agreement Cooperative Agreement must be signed by the registered agent. (The registered Agent can be viewed in Sunbiz.org) Two (2) original Cooperative Agreements must be submitted by mail. Cooperative agreement cannot be faxed or emailed. (Cooperative agreements faxed or emailed are not acceptable). 2. Review handbook to familiarize yourself with the forms: • Student internship Application • Student Data Placement Form (SPDF)- Confirming student's placement • Required Student Procedures ■ Internship providers may customize this form to fit the goals of the organization offering the internship. ■ Internship providers should review these procedures with student/intern. • Log Sheet Form. For student to log in their attendance, hours, and program activities. Internship provider should check form periodically and sign. 3. Students are not allowed to intern with a family member or participate in a home -based business. Your Role as an Internship Provider As an internship provider you pass on valuable skills and knowledge to your intern. • Teach organizational skills • Develop achievable short-term and long-term goals • Build positive values that will make the intern more successful • Teach basic principles of personal and social responsibility • Provide required evaluation every nine (9) weeks, as outlined in the handbook (Log sheet and grade sheet) 4 Evaluation • A grade/evaluation is required by the internship provider every nine (9) weeks. The grade is based on the student's performance at their internship site and is based on the such criteria as the student's: a Attendance/Punctuality, o Communication Skills o Meets Deadlines O Acquired/Learned Skills for internship Every nine weeks, internship providers will be sent a Grade Request Report by the Office of Community Engagement for providers to evaluate the student based on the aforementioned criteria. Information about the Miami -Dade County Public Schools grading system is provided on the Grade Request. Report. Please return the completed Grade Request Report to the Office of Community Engagement by the deadline indicated on the form. If a student is not fulfilling his/her responsibilities or is not attending regularly, please notify one of the program administrators in the Office of Community Engagement at once, so that the situation can be rectified, It is vital that the office be advised IMMEDIATELY of any breach of student responsibility. Please contact us at 305 995-1265 or email internships@dadeschools.net, • Miami -Dade County Public Schools is required to inform parents/guardians at any time that a student's grade falls below acceptable. Therefore, if a student is in danger of receiving a failing grade ("D" or "F"), please notify one of the program advisors in the Office of Community Engagement IMMEDIATELY, so that we may contact the parent/guardian of the student, FORMS • Student Internship Application (Form 7525) • Student Data Placement Form (SPDF) - Form confirms intern's placement. Must be returned immediately after interview with mentor, • Required Student Procedures - This form is for students to understand their responsibilities involved with the internship and must be turned in along with the SPDF. This form must be reviewed by both internship provider and student; both parties are required to sign the form. • Intern Emergency Contact Information Sheet- This sheet must be submitted to internship provider. Parent/guardian home, work, and cellular phone numbers should be provided. • Log Sheets- Form is for student to record their attendance and program activities hours every time they attend the internship. The log sheet must be signed by internship provider regularly. (Note it is the responsibility of the student to submit the log sheet directly to our office by the deadline). 5 PROGRAM CALENDAR August 18 - 22 First week of school/Students begin reporting to the internship site September 1 Labor Day: Legal Holiday - NO SCHOOL 4 Teacher Planning Day - NO SCHOOL October 13 Submit 1st Quarter Internship Log Sheet 23 Teacher Planning Day - NO SCHOOL 27 Beginning/End of Grading Period November 7 Teacher Planning Day - NO SCHOOL 11 Veteran's Day: Legal Holiday -NO SCHOOL 27 Thanksgiving. Day: Legal Holiday - NO SCHOOL 27 Recess Day NO SCHOOL December 22-30 Winter Recess January 1 - 2 Winter Recess 5 Submit 2nd Quarter Internship Log Sheet 15 Beginning/End of Grading Period 16 Teacher Planning Day - NO SCHOOL 19 Dr, Martin Luther King, Jr, Holiday: Legal Holiday -NO SCHOOL 20 Beginning/End of Grading Period February 6 Teacher Planning Day - NO SCHOOL 16 President's Day: Legal Holiday - NO SCHOOL March 9 Submit 3rd Quarter Internship Log Sheet 20 Teacher Planning Day - NO SCHOOL 23 - 27 Spring Recess April 17 Teacher Planning Day - NO SCHOOL May 18- 22 LAST WEEK OF INTERNSHIP 22 Submit 4th Quarter Internship Log Sheet 25 Memorial Day: Legal Holiday - NO SCHOOL Calendar Website: http://www.dadeschools.net/calendars/ 6 FOR OCE OFFICAL USE ONLY: GPA: ATTENDANCE MIAMI-DADE COUNTY PUBLIC SCHOOLS OFFICE OF COMMUNITY ENGAGEMENT 1450 NE 2nd AVENUE, ROOM 202, MIAMI, FLORIDA 33132 PHONE: 305 995-1265 FAX: 305 995-2888 Internships@dadeschools.net APPLICATION DEADLINE: FRIDAY, MARCH 14, 2014 INTERNSHIP APPLICATION (Must Be Typed) STUDENT INFORMATION: ID#: NAME: DATE OF BIRTH: HOME ADDRESS: CITY/STATE/ZIP: HOME: CELL: EMAIL: ETHNICITY: Please check all that apply: ASIAN BLACK ESOL GIFTED FREE or REDUCED LUNCH HISPANIC INDIAN MULTIRACIAL NATIVE AMERICAN GENDER (Please cheekane): WHITE OTHER: MALE FEMALE SCHOOL INFORMATION: SCHOOL NAME: CURRENT GRADE: GUARDIAN INFORMATION: FATHER/GUARDIAN NAME: PHONE 1: EMAIL: PHONE 2: MOTHER/GUARDIAN NAME: PHONE 1: EMAIL: PHONE 2: COURSE INFORMATION: PLEASE READ YOUR INTERNSHIP HANDBOOK TO CHOOSE YOUR CAREER CHOICE: 1. 2. INSURANCE: MARK IF YOU HAVE PRIVATE INSURANCE OR HAVE PURCHASED SCHOOL INSURANCE ( SUBMIT PROOF ); PRIVATE INSURANCE PURCHASED SCHOOL INSURANCE 3 COUNSELOR/FACULTY RECOMMENDATION: NAME: TITLE: SIGNATURE: IF YOU HAVE YOUR OWN MENTOR (NO FAMILY MEMBERS OR FRIENDS), FILL OUT THE FOLLOWING: *PROPOSED MENTOR NAME: COMPANY NAME: DEPARTMENT NAME: ADDRESS: CITY/STATE/ZIP: PHONE: FAX: EMAIL:(required) TYPE OF BUSINESS: PARENT PERMISSION FORM & LIABILITY WAIVER (SUBMIT PROOF): I have read the INTERNSHIP HANDBOOK; I understand and agree to the conditions that are required for participation in the Internship Program. I give consent for my child to participate. PARENT NAME: PARENT. SIGNATURE: STUDENT SIGNATURE: FOR ELIGIBILITY AND COURSE REQUIREMENT REVIEW INTERNSHIP HANDBOOK http://cornmunity.dadeschools.net/lInternshiplHE_overview.asp Miami -Dade County Public Schools Office of Community Engagement Internship Program 1450 N.E, 2nd Avenue, Room 202 Miami, FL 33132 Tel: 305-995-1265/Fax:305-995-2888 E-mail: I riternships@dadeschools.net Student Placement Data Form 2014 - 2015 INSTRUCTIONS 1. Call your proposed internship provider and make an appointment for an interview IMMEDIATELY. Please return the SIGNED form to us as soon as possible. E-mail or call us if you have any problems. 2, If you need to leave a message for the internship provider, please let them know you are a Miami -Dade County Public Schools student from the Internship Program (Internship Program, or iPrep). Continue to call until you reach your. Internship provider, - 3. At the interview, discuss with your internship provider the activities available to you, internship responsibilities, and the days and hours you are required to attend. 4. Bring this form and a resume with you to the interview. Respective individuals must sign below for the placement to be complete. Before you leave the interview, if hired, set a day to begin the internship no later than the first week of school, August 18-22, 2014. 5. The student should keep a copy for their records and send by fax or email to (305) 995-2888 or lnternshipsadadeschools.net. STUDENT INFORMATION Student Name: ID #: School: Parent's! Guardian's Name: Student's E-mail: Number of Credits: Course Number: PROPOSED INTERNSHIP PROVIDER INFORMATION Internship Provider's Name: Title: Mail Address: Phone: Fax: E-mail: Internship Provider's Signature: Date: Student's Signature: Date: Parent's Signature: Date: 8 Miami -Dade County Public Schools Office of Community Engagement/Internship Program Required Student Procedures 1. Internship commitment is for the entire school year. 2. Transportation difficulties cannot be an excuse to exit the program, Confirm transportation prior to committing to the program. 3. Once you are accepted into the program you will receive a Student Placement Form (SPDF). Use information on this form to contact your internship provider and set up an interview. The SPDF must be returned to the office immediately after interview with internship provider. 4. Any changes in internship provider or student contact information must be communicated to the Office of Community Engagement immediately and a new Student placement form (SPDF) must be completed. 5. Students are required to keep a log that is signed by the internship provider every visit. A copy is to be submitted by fax or email to the Office of Community Engagement by the student two weeks prior to completion of grading period. 6. Student cannot intern with a family member or in a home -based business. 7. A grade sheet must be submitted by the internship provider directly to the Office of Community Engagement two weeks before the end of the grading period, 8. For additional information, please review the handbook at htfp://community.dadeschools.net/linternship/HE overview.asp. Print Student Name ID# I have read and understand the Required Student Procedures. Non-compliance with the procedures may result in the student's failure of a grading period and/or removal from the program. Student's Signature Date School Attending Note: The receipt of this document is required to confirm placement in the program. Office of Community Engagement 1450 NE 2nd Avenue, Room 202, Miami, Florida 33132 Internshios@dadeschools.net Phone:305 995-1265 Fax: 305 995-2888 9 Intern Emergency Contact Information Sheet Student Information: Student's Name: School: Student's Phone: Student's Email Parent's Name: Parent's Phone: Parent's Email: Other Contact: Phone: Student Internship Schedule: Monday: AM/PM to AM/PM Tuesday: AM/PM to AM/PM Wednesday: AM/PM to AM./PM Thursday: AM/PM to AM/PM Friday: AM/PM to AM/PM Saturday: AM/PM to AM/PM District Contact: Program Coordinator: Ms. Caridad DePaola Phone/Fax: 305-995-1265/305-995-2888 Emails: Internships@dadeschools.net ** As a courtesy to your internship provider please fill ou.t this page and give them a copy. 10 Miami=Dade County Public Schools Office of Community Engagement Internship Program 1450 N.E. 2nd Avenue, Room 202 Miami, Florida 33132 Tel: 305 ,995.1265 Fax: 305--9 95.2888 Email: Internships@dadeschools.net please Check One: ❑ Quarter 1 Due 10/10/2014 ❑ Quarter 2 Due 01/05/2015 ❑ Quarter 3 Due 03/06/2015 ❑ Quarter 4 Due 05/22/2015 Internship Log Sheet 2014 -2015 Students Name: ID# # of Credits (1 or 2): Internship Provider's Name: Internship Site: Instructions: Duplicate this form as needed. Each student is required to maintain a record of his./her daily attendance and activities. Log sheet is to be faxed or emailed by the student to the Office of Community Engagement each nine weeks by the due date. Date Time In Time Out Brief Description of Day's Activity Student's Signature: # of Hours Internship Provider's Signature: Mentor's Initials School Name: 11