IIC Intern Agreement

Form Code*

SUU HR Paperwork must be completed prior to an intern beginning their internship. Internships often require a minimum of 4 weeks of turnaround time to get interns onboarded.
Host Agency/Bureau*
Example: USFS - Fishlake
Host Agency Location*
Will the intern's physical worksite location be in the state of Utah?*

YesNo
Is this internship remote?*

YesNo
Intern's Worksite Location (Home/Office)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Intern Information
Intern Name*

First NameLast Name
Title of Internship Position*
Intern Email*
We will send the intern's form to the provided address. Please make sure the address is accurate.
Intern Cell Phone*
Will intern be attending intern orientation?*

YesNo
Is this a summer internship?*

YesNo
Summer Intern Orientation*

May 7-8, 2025May 28-29, 2025Online (Date TBD)
*Fall and Out of State Interns will be enrolled in orientation through Canvas or may schedule a Zoom training with the IIC
Internship Start Date (this means onboarded by SUU. Be sure to think about orientation dates)

April 1stApril 16thMay 1stMay 16thJune 1stOctober 1stOctober 16thNovember 1stOther
Proposed Internship End Date (budget dictates actual end date)*

MonthDayYear
Student Status*

SUU StudentNon SUU Student (This includes students from other universities, high school students, or recent graduates.)
Non SUU interns are limited to 1500 hours max with the IIC*

Full Time without extension: 40 hrs. a week up to 960 hours for 24 weeks (averages about 6 months)Full Time with extension: 40 hrs. a week up to 960 hours for 24 weeks (averages about 6 months) & 29 hrs. a week for 540 hours for 18 weeksPart Time: 29 hrs. a week
All internships are limited to 1500 hours in a calendar year*

Full Time: 40 hrs. a week for 960 hours for 24 weeks (averages about 6 months). This will depend on SUU’s Spring semester end date and Fall start datePart Time: 20 hrs. a week
Interns Driving Federal Vehicles
Will the intern be driving a Federal or State vehicle for internship related work?*

YesNo
Please know before your intern can start driving, they will need to complete all driving courses with us including Federal, State and OHV-off roading. (This includes interns working out of the state of Utah)

If they have already completed their training, please have them email us their certifications or they can upload them in the online training course.

Please email Shannon Eberhard (shannoneberhard@suu.edu) the following information for each vehicle the intern will be driving. Keep the number of vehicles as few as possible.

Information needed: Agency, Location, Make, Model, Year, VIN, and License #:
I confirm and approve the intern listed in this agreement to drive a state or federal vehicle for the duration of their IIC internship:
Field Office Manager or Agency Superintendent Name:*
Internship Details
Internship Costs

These values can be found on the IIC Intern Budget form that you previously submitted. A copy should have been emailed to you.
Hourly Pay Rate*
Pay raises must be submitted separately and a minimum 2 weeks prior to pay raise date
Internship Details
Work Assignments*
Enter brief description of duties
Select Applicable Certifications for this Internship:*

Federal Defensive Driving (needs to be re-certified every 2 years) (Can be completed with IIC orAgency)CPR / First Aid (needs to be re-certified every 2 years) (Can be completed with IIC orAgency)State Defensive Driving (Required for all interns driving federal vehicle and completed with IIC)OHV -Off Roading Driving (Required if driving a federal vehicle) (Can be completed with IIC orAgency)Not applicable (my intern is current on their trainings or none are required for this internship)My agency will require additional training(s) for the intern. The agency is responsible to coordinate and track these requirements.
Mentoring *
Describe planned activities/actions that support the Academic, Professional, and Personal development of the intern. (Describe planned activities/actions that support the Academic, Professional, and Personal development of the intern. The IIC recommends an initial goals/expectations meeting, regular check ins, career advice, a midseason goals/expectation check in, and a final goals/expectation debrief.
SUU/IIC Internship Requirements

Interns are employees of SUU and need to complete required trainings. Additionally, assignments in Canvas are designed to help facilitate reporting requirements and encourage resume building with their weekly work log.
Computer/Time Agreement*

I agree to provide adequate time for interns to use computers to submit their timesheets, assignments in Canvas, and complete required trainings.
Evaluation Procedures

Intern and Mentor will each complete two evaluations, one mid-season and the other at the end of the internship. These will be emailed to you by the IIC. These are important tools that help provide data for IIC reporting as well as provide feedback on the IIC program.

We encourage, at minimum, weekly checkins with interns to answer questions, give feedback, make sure required tasks are being completed, etc.
Evaluation Agreement*

I acknowledge the above statement.
On-Site Host Agency Mentor Contact Information
*This needs to be whomever will oversee interns day-to-day activities*
Onsite Mentor Name*

First NameLast Name
Onsite Mentor Position*
Onsite Mentor Phone Number*

Area CodePhone Number
Onsite Mentor E-mail*
Will there be multiple Mentors for this internship?

YesNo
Onsite Mentor Name*

First NameLast Name
Onsite Mentor Position*
Onsite Mentor Phone Number*

Area CodePhone Number
Onsite Mentor E-mail*
Onsite Mentor Name

First NameLast Name
Onsite Mentor Position
Onsite Mentor Phone Number

Area CodePhone Number
Onsite Mentor E-mail
Internships are subject to SUU Policy #6.3: Internships.
By signing this agreement, you agree that you have read and understand this policy

Photo Release:

By submitting this agreement, you hereby give permission to Southern Utah University and the IIC to use your name and photographic likeness, without restriction, in all forms and media for advertising, trade, and any other lawful purposes. You agree that there is no consideration or compensation due as a result of granting this permission.
Photo Release Agreement*

I acknowledge the above statement.
Agency Mentor's Responsibilities
- Provide planned and supervised opportunities for each intern to perform tasks to acquire and practice various skills based on objectives compatible with those of SUU's program;
- Orient the intern to the employee's rules, policies, procedures, methods, and operations;
- Perform risk assessments and provide orientation to the intern of known or reasonably likely risks;
- Evaluate the intern's performance and notify SUU's Internship Coordinator of any cause of dissatisfaction with or of any known misconduct on the part of the intern;
- Comply with all federal, state, local, and municipal laws, ordinances, and codes applicable to Agency;
- Accept responsibility for supervising the intern at the internship site.
Agency's grant interns the following limited uses to works they create under the terms of the internship:
- The right to claim attribution, maintain copies or files of the work, and to display work in professional portfolios; and
- to derive other works from the works created as interns unless the work has resulted in a patent or other licensable property.
Any other requirements, expectations, or related internship documentation, as established by the Host Agency, should be appended to this agreement.
Responsibility Agreement*

I acknowledge the above statement.
Should be Empty:

Intern Information

Interns Driving Federal Vehicles

Internship Details

Internship Costs

Internship Details

SUU/IIC Internship Requirements

Agency Mentor's Responsibilities