Application for Undergraduate Internship

School of Journalism and Mass Communication

Texas State University

Please print carefully or type: Form Revised: 08/2017

Name ___________________________________________________________________________________
Edna Gonzalez

Street Address ____________________________________________________________________________

314 E. Hutchison Dr.

City: ____________________
San Marcos State: __________
TX Zip _________
78666 TXST E-mail: _______________________
epg23@txstate.edu

Telephone Number _____________________

409-543-6404 TX State ID # ____________________________________
A04869958

Mass Communication Major: ___________________________

Digital Media Innovation and Mass Communication Minor: _____________________________
Computer Science

Total hours completed _______

85 MC hours completed _______
6 TX State grade point average ___________
2.80

Have you earned full-major status – (Yes / No) ________

Yes Currently taking classes? (Y/N) ________________
Yes

MC courses completed:

______
MC 1301 ______
MC 4381 ______ ______ ______ ______ ______ ______ ______ ______

Attach a copy of your unofficial transcript to the application which you can print from CATSWEB.

Number of credits requested for the internship:

Please note you cannot receive more than 6 credit hours total for all internship experiences as an undergraduate.

1 hour (MC 4130) _____ 2 hours (MC 4230) ____ 3 hours (MC 4330) _____
X
Grad: (MC5330)______
min. 100 hrs/semester min. 150 hrs/semester min. 180 hrs./semester min. 180 hrs/sem
With higher minimum work hours, students may qualify for 4, 5 or 6 hours of credit in a given semester.

Submit the Internship Application (1st page) and Internship Agreement (2nd page) document to the School of
Journalism and Mass Communication Office, Old Main Room 102, between 8:30-4:30 Monday through Friday
for further processing.

For more information, make an appointment with Chuck Kaufman, Internship Coordinator, at the front desk in
the SJMC Office, OM 102, or by calling 512-245-2656. You will not be able to register for an internship class
until all paperwork has been submitted. You will be notified by email that you are clear to register for the
course.
__________________________________________________________________________________________
For Office Use Only:

SJMC Office check for FMS Yes_______ No________ Signature & Date: _______________________
Credit student has already earned for internship(s) _______ Remaining credit left _____________________
Cleared for MC Course(s)_________________________ Processed By & Date _____________________
 TEXAS STATE UNIVERSITY
SCHOOL OF JOURNALISM AND MASS COMMUNICATION
INTERNSHIP AGREEMENT

Student’s Name _________________________

Edna Gonzalez Organization’s Name _____________________________
Scoremore LLC

Address _______________________________
314 E. Hutchison Dr. Supervisor’s Name _______________________________
Madisyn Holland

City __________________________________
San Marcos Address ________________________________________
5704 W US Hwy 290

State ___________________
TX Zip __________
78666 City ___________________________________________
Austin

Phone ________________________________
409-543-6404 State ________________________
TX Zip Code _________
78735

Email: ________________________________
epg23@txstate.edu Phone __________________________________________
office: 512-330-4274 / cell: 832-217-5701

Email __________________________________________
madisyn@scoremoreshows.com

Outline your goals for this internship in terms of the development of professional skills, learning new
information and personal development:
__________________________________________________________________________________________
I hope to gain marketing experience that will help me advance within the realms of digital media.
__________________________________________________________________________________________

A. AGENCY (ORGANIZATION RECEIVING AN INTERN)

Nature of Internship (duties, responsibilities)
Semester _________
Spring Year ___________
2019 Dates of internship ___________________________
01/07/2018 - 05/30/2018

Days _______________________ Hours _____________________

250

Paid __________ or Unpaid __________

X internship If paid, amount $________________

Describe how the student will be supervised.

____________________________________________________________________________________
Edna will be supervised collectively by our marketing department.

____________________________________________________________________________________
This agency agrees to accept the above named student as an intern for the time and with the duties
and supervision as indicated above:

Agency Supervisor Signature: ____________________________ Date: ______________________

10/10/2018

B. INTERN
I agree to work as an intern at the above named agency at the duty schedule described in “A”, ____x with
pay ____
x without pay. I have been informed of and agree to the duties, responsibilities and nature of the
work. Credit for the internship is graded as A, B, C, D or F. Students may receive an Incomplete (I)
until required written Internship materials are submitted. I understand that evaluation will be done by the
internship coordinator as described in the internship policy.

Intern Signature: _____________________________________ Date: ______________________

01/18/2018

C. FACULTY INTERNSHIP COORDINATOR

I have agreed to the placement of the above named student with this agency under the conditions
described in “A.”

Faculty Coordinator Signature: __________________________ Date: ______________________

Mr. Charles Kaufman
 INTERN EVALUATION
(To be completed by primary work site supervisor)

NAME OF INTERN: ________________________________________________________________

TYPE OF POSITION: _______________________________________________________________

NAME OF PERSON COMPLETING FORM: ___________________________________________

POSITION OF EVALUATOR: ________________________________________________________

Please indicate below a rating of 1-5 (lowest to highest) on each of the traits listed as you experienced the
intern. The definition that follows the category is the acceptable behavior (3) and superior or substandard
behavior should be graded according to the deviation from this norm. Please add comments whenever
possible, since this will aid the University faculty in final evaluation of the student’s performance.

1. Job Knowledge (Good knowledge of duties or average learner of duties. Tries to be well
informed. Occasionally needs direction.)

2. Quality of Work (Meets basic requirements of accuracy and neatness; average quality of work;
needs normal supervision. Spelling, grammar, and expression clear and accurate.)

3. Attendance (Seldom absent or tardy. Reports absence or tardiness in advance.)

4. Quantity of Work (Works at a steady pace. Meets basic requirements and deadlines.)

5. Attitude (Tries to cooperate. Usually agreeable and obliging. Takes constructive

criticism well.)

6. Versatility (Able to perform several related tasks simultaneously. Has ability to respond quickly
to changing priorities, deadlines, and contingencies. Handles new assignments with normal difficulty.)
Internship Evaluation – page 2

7. Initiative (Conscientiously performs routine assignments. Will accept new responsibilities.)

8. Time Management (Accomplishes average amount of work. Plans adequately.)

9. Personal Appearance (Dresses adequately for nature of assignments. Generally neat and clean.
Presents an acceptable image.)

10. Assertiveness (Generally has a good self-concept. Persistent when convinced of appropriateness
but willing to yield to evidence or requirements. Willing to ask questions and not intimidated by
authority.)

Please give an overall rating for this student intern and comment briefly on how he or she ranks compared to
other interns you have had from this department or other similar departments at other schools.

Elaborate on any specific strengths or weaknesses you have found in this intern’s performance.

Internship Supervisor’s Signature: _____________________________ Date ______________________

As soon as the internship is completed, please send this document directly to. You are welcome to share
your comments with the student. Your option:

Mr. Charles Kaufman, ck17@txstate.edu

School of Journalism and Mass Communication
Texas State University-San Marcos
601 University Drive, OM 102
San Marcos, Texas 78666-4684
Office: 512-245-3479
Fax: 512-245-7649