CANCER RESEARCH EXPERIENCES FOR STUDENTS (CaRES) PROGRAM

STUDENT AND PRECEPTOR INFORMATION

                                                                                                                                    
^{sTUDENT Name                                                                       Contact PHONE Number                                                                                                                                                                                                                                                  
School}

                                                                                                                                     
 <sup>DEPARTMENT / division/  pROGRAM

                                                                                                                                    
PROGRAM ADMINISTRATOR</sup>                  

                                                                                                                                   
^Preceptor             

PROJECT INFORMATION

PROJECT TITLE: ______________________________________________________ 

EXPECTED START AND END DATES (mm/dd/yy):  __________ TO __________   

APPROVED TIME ALLOCATION:  ___________/hours per week 

CaRES INTERN RESEARCH DEVELOPMENT PLAN

Instructions:CaRES interns, you should complete this form and discuss it with your preceptor to determine research objectives for your internship, activities necessary to accomplish the objectives, and the anticipated final outcomes. 

INTERNSHIP OBJECTIVES:

CANCER RESEARCH ACTIVITIES:   

ANTICIPATED OUTCOMES:   

THE STUDENT INTERN AGREES TO: 

1. Consider him/herself an integral part of the participating research team and adhere to the guidelines, rules and regulations of the team.
2. Prepare thoroughly for each task to be carried out related to the internship.
3. Determine, with the agreement of the preceptor, objectives, activities, and outcome(s) of the internship.
4. Consult with the preceptor if unsure of expectations, to determine appropriate actions required for cancer research project.
5. Be aware of all provisions of the internship expectations and agreements.
6. Exhibit professionalism in all aspects of the internship including attendance, appointments, meetings, and discussions with supervisors and others.
7. Complete the agreed upon hours of work in the participating department and keep a log of activities.
8. Evaluate the internship experience and provide feedback if requested by preceptor and CaRES program evaluation staff.
9. Inform preceptor of anticipated absences, as far in advance as possible.
10. Inform CaRES faculty and staff of issues between preceptor and student that cannot be resolved.  

THE FACULTY PRECEPTOR AGREES TO: 

1. Discuss the objectives, activities, and outcome(s) of the internship with the student before the internship begins.
2. Explain the structure and function of the lab/department/division.
3. Introduce the student to collaborating research staff.
4. Serve as a mentor and provide supervision for the student during the CaRES experience.
5. Invite the student to appropriate meetings.Be a model of professional work habits and attitudes.
6. Evaluate student performance and provide results to CaRES program staff when requested.
7. Meet with the intern on a regular basis or have associates involved with the project meet with intern to provide feedback and monitor progress.
8. Inform CaRES faculty and staff of issues between preceptor and student that cannot be resolved.  

Student Intern:  ______________________________________           Date:  ____________ 

Preceptor:  ­­­­­­___________________________    ____________           Date:  ____________