Common use of OFFICE USE ONLY Clause in Contracts

OFFICE USE ONLY. This volunteer/intern has completed all necessary paperwork and all clearances are in order. S/he is free to serve in the following departments: Prevention Other OES Shelter/TIL Administration Support Ops Development Staff Signature Date Hours of Availability Please note: The hours you are available to complete your internship will contribute to your acceptance and assignment placement. Should your hours change after acceptance, it may affect your assignment placement and/or acceptance award. ◇ Monday ◇ Tuesday ◇ Wednesday ◇ Thursday ◇ Friday ◇ Saturday ◇ Sunday Goal(s): Please complete below only if you are applying for an internship. School: Degree being sought: Major: Internship Start Date: Internship End Date: Supervision requirements: LMSW LPC Other: Unknown Not Applicable: Hours of internship required weekly: Total hours required: Other Guidelines or Comments: (Please provide a copy of supervision/internship requirements from the school, if you are completing it for college credit.)