RHS Internship Scheduling Sheet (Appendix A)
The RHS Internship Scheduling Sheet (PDF) requests that the following information be submitted to:
RHS Academic Adviser
125 CEDAR Building
University Park PA, 16802
Intern Information:
- Intern name, PSU ID number, PSU email address and personal email address
- Address and phone number where student will be living during internship (not site address)
- Permanent Address and Phone Number
- Semester Registering for Internship (RHS 495A)
Internship Site Information:
- Supervisor Name
- Agency/facility Name
- Agency/facility Address (including zip code)
- County located
- Population Served
- Site (Supervisor) Phone Number and email address
- Accreditation or Licensure (e.g. CARF, JCAH, PARF, M.A.)
- Is there a required written contract with the facility?
- Are you required to carry malpractice/liability insurance?
- Are you required to have a child abuse clearance?
- Are you required to have a memorandum of understanding?