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Unformatted text preview: the internship learning objectives and proposed tasks, and that I agree with the proposed learning objectives and related internship activities. Student Signature: ______________________________________Date:_______ (SIGNATURE) Site Supervisor approval: ________________________________ Date:_______ (SIGNATURE) Academic Advisor approval: _____________________________Date: _______ (SIGNATURE) MPH Progr. Coordinator approval: _________________________Date:_______ (SIGNATURE) Original internship forms will be kept at the College of Public Health Deans Office: MPH PROGRAM COORDINATOR Ashley Wells, MPH, CHES N 122 A Paul D. Coverdell Center University of Georgia, Athens, GA 30602 Phone: 706.583.0059 FAX: 706.542.6730 Email: firstname.lastname@example.org 2...
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- Spring '08