Public Health Experiential Learning Contract Updated on: December 5, 2016 Term* (ex JT17, SP17, SU17, FA17)Student Name* First Last Austin College Email* Cell Phone*Name of Site/Organization* Site Supervisor* Site Address* Street Address City State / Province / Region ZIP / Postal Code Site Email* Site Phone*Renumeration* Paid Unpaid Site/Organization Type* For-profit Non-profit Religious Government Location* International United States QuestionsStudents should discuss their answers to these questions with their Faculty Mentor and Public Health faculty sponsor before obtaining their approval.Why are you interested in exploring a career related to the particular field in which you will be participating in experiential learning? (650 character limit)*What do you hope to learn about this career area from your learning experience? (650 character limit)*How do you plan to benefit the organization with which you will participate in experimental learning? (650 character limit)*AgreementsI agree to act during this learning experience in a manner that will reflect positively on Austin College and that will have a beneficial impact on the organization I am working with. At the end of my experiential learning I agree to write a short (1 to 2 pages) "reflection" paper summarizing what I gained from the experience and how it has affected by career goals.Student Name* Faculty Mentor* Faculty Mentor Email* Faculty Mentor can send an email indicating their approval to either Dr. Bangara or Dr. Diggs.Public Health Faculty Sponsor*