Internship Review Sheet

Offender’s Name:

Note: This form must be completed by the internship supervisor.
Student and Internship Information
Student’s Name:
College/University:
Internship Location:
Internship Position Title:
Internship Start Date:
Internship End Date:
Internship Hours Per Week:
Total Hours Completed:
Questionnaire
1. Did the intern sufficiently complete tasks assigned? Yes No. If you answered ‘No’, in the box below, please explain.
2. Were there any issues regarding the intern during the internship? Yes No. If you answered ‘No’, in the box below, please explain.
3. Would you recommend this intern be considered for future employment? Yes No. If you answered ‘No’, in the box below, please explain.
4. Do you have any additional comments you would like to make about the intern or internship? Yes No. If you answered ‘Yes’, please provide your comments in the box below.
Intern Supervisor’s Name
Signature
Date
IDAHO DEPARTMENT OF CORRECTION
Grievance and Appeal Form
IDAHO DEPARTMENT OF CORRECTION
Completed Internship Review Sheet
Appendix B
316.04.01.001
(Appendix last updated TBD)
212.07.01.001
(Last updated 4/7/14)