LONGWOOD UNIVERSITY

DEPARTMENT OF SOCIOLOGY, ANTHROPOLOGY

AND CRIMINAL JUSTICE STUDIES

INTERNSHIP

Acceptance Statement

The student listed below has been accepted as an intern in our agency/department.

Student’s Name:____________________________________ Major:______________________

Placement Site: ________________________________________________________________

Agency Address: _______________________________________________________________                                    (Street)                                                 (P.O. Box)                              

              ______________________________________________________________________

                (City)                                                 (State)                                 (Zip Code)

Agency Contact: ________________________________  ______________________________

                                    (Name)                                                (Telephone No.)

                           _______________________________________________________________

                                    (Email Address)

Internship Starting Date: ______________________________ Ending Date:________________ 

                                                                                    ___________________________________

                                                                                                        Agency Contact

                                                                                    ___________________________________

                                                                                                                Date