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Internal Information
1. Company:
2. Student Name:
3. Internship/Work Experience Title:
4. Supervisor Name:
5. Start date of Internship/Work Experience:
6. End Date of Internship/Work Experience:
7. Date of Mid-Point Review:
8. Communication with internship supervisor:
Unsatisfactory
Needs Improvement
Satisfactory
Above Average
Outstanding
9. Work experience gained:
Unsatisfactory
Needs Improvement
Satisfactory
Above Average
Outstanding
10. Is this an internship for credit?
Yes
No
11. Do you have a learning agreement?
Yes
No
12. If So, do you find it helpful?
Yes
No
13. Is there adequate supervision and direction for your work?
Yes
No
14. Do you feel comfortable in your work environment?
Yes
No
15. Did you re-locate for this experience?
Yes
No
16. Do you want to work in North Dakota after graduation?
Yes
No
17. Are you satisfied with the compensation you are receiving?
Yes
No
18. Do you feel like the work you do is meaningful?
Yes
No
19. Do you have access to the equipment you need to do the job?
Yes
No
20. Do you have access to people to provide mentoring and professional growth?
Yes
No
21. Do you have one major task that takes most or all of your time, or a variety of smaller tasks? What are they?
22. If you are enjoying your experience, what are the top 3 things that you enjoy?
23. In what areas do you feel your education was beneficial in preparing you for your internship?
24. Where do you attend school?
25. What is your major?
26. How did you get this internship?
27. Other information?
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