EST 488 Experiential Learning Contract

Students may fulfill the requirements for EST 488 through a supervised learning activity in 

which the student applies knowledge and skills acquired within the classroom in real-world 

settings and in which insights and skills developed through real-world experience enhance 

academic success and professional development. Successful experiential learning requires 

reflection, mentoring, feedback, critical analysis, and synthesis.
Note: This form should be completed by the student in close consultation with the supervisor. 
Student name_________________________________________
ID#____________________________________________
Student email_________________________________________
Supervisor_________________________________
Course # EST 488

Section#______

Year______

Sem: F___    Sp___   Su1___    Su2___
Credit hours requested_________ (1 credit hour = 50 hours effort/sem)
Project Description: Describe the proposed research project, internship, or other learning 

experience.

Responsibilities and Structure: How many hours/week will you work? Who will be your 

primary on-site supervisor? Describe your responsibilities.

Learning Objectives: What skills/knowledge do you hope to gain from this experience? Please 

consult the Evaluation Guide (below) 

Goals: 
How do you expect this activity will contribute to your academic-professional-intellectual 

development?

How do you expect to contribute to the goals of the organization or project?

Reflection:

During the activity: Describe how you will reflect upon and record your experience: 

notebook, journal, blog, emails to academic supervisor, etc.

At the end of the activity: How will you synthesize and reflect on what you have learned? 

Final reflections may take the form of a paper, a presentation, or some other substantial product 

that addresses the skills developed, relevance to your academic studies, insights that 

changed/confirmed your future professional goals, etc.

Evaluation Guide

Technical Skills

Learning Outcomes (40%)

Professional Skills

Learning Outcomes (40%)

Attitudes (20%)

Ability to apply mathematics, 

science, and engineering 

principles

Ability to function on 

multidisciplinary teams

Demonstrate commitment 

to task, employer and 

profession

Ability to identify and conduct 

science, technical, and 

engineering testing

Ability to communicate 

effectively

Set high expectation for 

self

Ability to analyze and interpret

data

Understanding of professional 

and ethical responsibility

Demonstrate curiosity and 

entrepreneurship

Ability to use the techniques, 

skills and modern tools 

necessary for technical work 

Understanding of the elements 

of project management

Demonstrate fairness, 

honesty, integrity and 

respect

Ability to design a system, 

component, or process to meet 

desired needs

Understanding of business, 

public policy, and administration

fundamentals

Ability to apply knowledge in 

a specialized area (specify)

Understanding of the role of the 

leader and leadership principles 

and attitudes

Student

Undergraduate Program Director

Signature_____________________________

Date:_______

Signature_____________________________

Date:_______

Name (please print): ____________________ Name (please print): ____________________

Academic Supervisor

Site Supervisor 

Signature_____________________________

Date:_______

Signature_____________________________

Date:_______

Name (please print): ____________________ Name (please print): ___________________

Title: _________________________

Title: ___________________________

Department: ____________________

Organization: ______________________

Phone: _________________________

Phone: ____________________________

Email: _________________________

Email: ___________________________