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Extern’s Agreement:
The extern should fill in the necessary information, initial the standards, and add any comments. Sign at the
bottom of the Agreement.
_____Professionalism, Goals and Reflection: I have discussed the above standards with my supervisor. I
agree to follow directions, seek clarification and advice in a timely fashion, and comport myself with
professionalism and integrity. I will create goals for the semester of how I plan to develop professionally and
will discuss these with my supervisor and faculty/dean. I will reflect on the observations, experiences, ethical
considerations, and other issues that may arise during my externship. I will be mindful of confidentiality
obligations.
The start and end dates of my externship are:
The number of units of credit I seek for this externship
are:
I understand that to receive credit I must work the
following average number of hours per week:
During this semester, I have the following classes and academic commitments (INCLUDE YOUR
EXTERNSHIP COURSE) and outline your anticipated externship schedule:
Class Day/Time
______________________________________ ___________________________________________
______________________________________ ___________________________________________
______________________________________ ___________________________________________
______________________________________ ___________________________________________
______________________________________ ___________________________________________
Faculty/Dean’s Agreement:
Academic Requirements: I will establish requirements designed to develop the extern’s experience in their
placement, including self-evaluation and reflection.
Site Evaluation: I will remain in regular contact, including possible visits, with the externship site and the
extern to ensure the quality of the educational experience.
Availability: I will be available as a resource should any concerns or issues arise.
Evaluation: I will evaluate the extern’s academic performance during the externship. The assessment will be
based, inter alia, on the extern and supervisor evaluations, timely compliance with requirements, the quality of
the self-reflection, and professionalism. This evaluation will determine whether credit should be granted.
We have reviewed this document and “Professional Skills for Externs” and agree to act in accordance with
these expectations. We are aware that we may contact the Assistant Dean and Director of Externships with
any questions that may arise during the externship.
Student Extern Signature:
Supervising Attorney/Judge Signature: