UNIVERSITY OF NEVADA, LAS VEGAS

DEPARTMENT OF CRIMINAL JUSTICE

 

     INTERNSHIP (CRJ 491) APPLICATION FORM

 

COURSE #: CRJ 491                                                                COURSE TITLE: Internship

 

INSTRUCTOR:  Randall G. Shelden                                        GPA: ______________________

 

DATE: __________    SEMESTER/YEAR: ___________               CREDITS:_______________

                                                                                                                    3 credits/8-10 hrs per week

                                                                                                                                                           6 credits/16-20 hrs per week

 

STUDENT NAME: ________________________________        SSN:___________________

 

ADDRESS: _________________________________CITY______________STATE___ZIP________

     STREET                                                                                                                                                                                           

PHONE (home): ____________________     PHONE (work): ______________________

 

E-MAIL ________________________________

 

 

AGENCY: ______________________________________      PHONE:___________________

 

AGENCY CONTACT PERSON:________________________________________________

 

E-MAIL________________________________________________________________

 

AGENCY ADDRESS:__________________________________CITY____________STATE___ZIP_______

STREET                                                                                                                                

                                                                 

 

 

LIABILITY WAIVER SIGNED: __________________

 

HEALTH INS. CARRIER: _______________________ POLICY #: ___________________

 

 

Approvals:

 

 

______________________________________________________________________________

Director, Internship Program

 

 

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                                                                      WAIVER

The undersigned is a student enrolled at UNLV majoring in Criminal Justice and will be participating in an internship with ______________________________during the FALL?SPRING (circle one) Semester, 200__.

The undersigned has been fully appraised of the duties and responsibilities he/she will have with the agency and of the risks associated with participation in the internship, including, but not limited to, exposure to individuals (e.g., suspected or convicted law violators) or circumstances (e.g., use of weapons, breach of peace) which may lead to personal injury or death. The undersigned has had all his/her questions regarding the internship answered to his/her satisfaction by UNLV or a representative of the agency.

By participating in the internship, the undersigned specifically waives any and all claims and causes of action, present and future, against the Board of Regents of the University and Community College System of Nevada, the University of Nevada, Las Vegas, and their respective officers, agents and employees based on injury, death, dismemberment, disability, physical or mental illness, or the loss or destruction of the undersigned's personal property which results from or is in any way related to the undersigned's participation in the internship. The undersigned acknowledges that this waiver is made freely, voluntarily, and under no compulsion.

 

______________________________           

 Print or type name                                          

 

_______________________________          ___________________

  Signature                                                        Date

 

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Re: ______________________________

 

Internship supervisor:

 

This is to certify that the above named student is a full-time student at UNLV, majoring in criminal justice. We have been informed that this student has applied to your agency for an internship during the FALL/SPRING (circle one) semester.  Upon acceptance by your agency, this student will begin an internship through the Criminal Justice Department. 

 

In the past our interns have volunteered at many agencies here in Clark County that deals in some capacity with the problem of crime and delinquency.  This experience has proven to be very valuable for both the students and the agencies.  The students are able to learn a great deal more than what they have learned in the classroom and the agencies also benefit from the students in many ways as well.  Each student must spend from 8 to 10 hours per week for a 3 credit course and 16 to 20 hours per week for a 6 credit course.

 

As far as learning objectives are concerned, the basic goal of an internship is to learn as much as possible about the agency and the nature of the work itself.  We would expect each student to come away from this experience with as much knowledge as possible about the agency.  Ideally each intern would either learn that this might be the kind of work they might want to do for a living and even to try and apply for a full-time position in the future, or they may realize that this is not something they would want to do for a living (which sometimes can be a very valuable experience).

 

We evaluate our interns based upon a journal that they keep, a final paper which summarizes their experiences, along with a description of your agency, plus one-on-one discussions during the course of the semester with the Internship Director.  We encourage agencies to feel free to conduct their own evaluation of the intern and we will supply a form to do this with, if you need one.

 

On the following page you will find a contract to be signed by both the student and the supervisor for this internship.  Additionally, the start date and end date for this internship will be noted, along with the number of hours per week required.  Also attached is a form we provide for your evaluation, which we would like to receive before the end of the semester

 

If you have any more questions, feel free to call me at 895-0251 or send me an e-mail: Shelden@unlv.nevada.edu.

 

 

Sincerely,

 

 

 

Randall G. Shelden, Ph.D.

Internship Director

 

 

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I hereby agree to perform the duties required of me by my supervisor, consisting of ___________hours per week

                                                                                                                             3 credits/8-10 hrs per week

                                                                                                                                                                       6 credits/16-20 hrs per week

 

 

_________________________________________________                        ________________

Student's Signature                                                                                    Date

 

 

___________________________________________                 ________________

Site Supervisor                                                                                         Date

 

___________________________________________                _______________

Internship Director                                                                                   Date

 

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ACKNOWLEDGEMENT

 

 

I UNDERSTAND THAT THE INTERNSHIP IS PASS/FAIL ONLY.  NO LETTER GRADE

IS ATTACHED AND AS SUCH DOING THIS INTERNSHIP WILL NOT HAVE ANY AFFECT ON

MY GPA.  IF i PASS i WILL GET CREDITS (3 0R 6) ONLY.

 

Name: _______________________________________        Date: ____________________