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First name: Last name:

Contact Person: Date :

Job site/Company :   

Instructions:  Answer the following questions concerning your internship experience.

1.Were you able to participate in occupation(s) that interested you? Yes No

2.Did you have sufficient time to train?                                                Yes No

3.Was there sufficient time at alternative work sites?                         Yes No

4.Would you recommend this job site for other students?                   Yes No

5.Are you still interested in this career field?                                        Yes No

6.How did the internship relate to your previously expressed career interests?

7.Was the internship helpful to you? Yes No
If yes, how?

8.What did you like best about the internship?

9.What did you like least about the internship?

10.What are your overall feelings about the value of this internship?