Student’s Name, Phone #, and Email:
Faculty Supervisor Name and college/department:
Fieldwork Supervisor Name:
Supervisor’s Name and Agency Name:
Start Date and End Date:
Scheduled Days and Hours:
Please complete the following section in conjunction with both your faculty and fieldwork supervisor:
Expectations: Describe the expectations of you at your fieldwork site throughout the semester
1. List skills, knowledge or understanding to be developed through the semester.
2. How will you link your fieldwork to your coursework?
3. How will you link your coursework to the fieldwork?
4 Grade option: Quality Grade___ Pass/Fail___
Student’s Signature and date:
Faculty Supervisor Signature and date:
Fieldwork Supervisor Signature and date:
Please return this form to the DUS of Anthropology and provide copies to your supervisors and the Public Service Center.