This form will be shared with students who are considering internships. Do NOT write anything that you would not be willing to share with other students.

I. WORK ASSIGNMENT

A. Estimate the proportion of your time spent in work versus observation: (circle the correct answer)

B. Did the tasks assigned you principally involve: (circle more than one if appropriate)

• duties similar to those of regular personnel of the agency?
• routine clerical tasks?
• research?
• frequent contact with personnel throughout the agency or office?
• frequent contact outside the agency/office?
• duties for which you posses adequate skills and knowledge?

C. Did the person(s) who supervised your work: (circle more than one if appropriate)

• adequately describe the tasks you were asked to perform?
• provide adequate supervision?
• expect you to assume independent responsibilities?
• offer assistance and guidance when requested?
• take an interest in your internship?
• show a willingness to provide additional information even when not related to your tasks?

D.. Opportunities for learning  (Circle   Y [=Yes],   N [=No], or   ? [=No Answer, Maybe])