Internship and/or Job Shadow Request

This form is used by ISU departments or units when hosting internships and job shadow opportunities that are subject to the Children in the Workplace and/or the Youth Activities, Pre-Collegiate Programs and Camps policy.  The form will provide information to the Office of Risk Management which will assist with preparation of a Participation and Parental Permission Agreement that provides for the following:

  • Written permission for hosting the child is obtained from department chair/unit director
  • If the individual serving as a host is not the child’s parent, the ISU employee and any others who will have responsibility for the child must be approved via a background check 
  • Written parental permission and emergency contact information is obtained through signature on this agreement

The form must be submitted at least 4 weeks prior to offering any intern or job shadow opportunity and remains in effect unless there is a significant change in the description or responsibilities (e.g. in scope or risk level) that would require that a new form be initiated.  This applies only to individuals under the age of 18 and/or who are not registered as ISU students.

EH&S must review and approve opportunities listed in the Children in the Workplace policy, listed as High Risk Areas.  This approval must be received by the Office of Risk Management prior to  preparing agreement forms.
 

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If parent and/or guardian will provide transportation to and from ISU campus for this opportunity please list their names above.