Internship Form
Please complete after each Internship Day

Today is 5/11/11
Examples of Military time
11:15 AM
12 Noon
1:20 PM
2:45 PM

Student's Last Name     Required
Student's First Name     Required
Internship Date     Format: MM/DD/YY
Time In     Format Military Time
Time Out     Format Military Time
Work Site     Required
In-Field Data Collection
In-Field Project
In-Field Maintenance
Animal Care
Data Analysis
Data Entry
Lab Assistance
Other (Please describe)

Supervisor, please feel free to make any comments
or suggestions on job performance. (Maximum 5 rows)

Supervisor's Password     Case sensitive
Supervisor's Name & Title     Required