Student Final Internship Course Review Form

This evaluation must be completed by the student at the end of the internship and submitted prior to receiving a final grade.

Name:*
Semester Internship Completed*
Internship Site Name*
1. How did you select your internship site?*
2. Please list your responsibilities/roles at the internship site. Identify each responsibility as participant or observer. Note the percentage of your internship time per role. Also add any other comments you have on each one.*
3. On a scale of 1-5, how prepared did you feel for your responsibilities on site? From 1 - unprepared to 5 - Very prepared*
4. Please list any courses that would have been helpful in preparing you for your internship.
5. This internship experience increased my ability to work in a health setting.*
- Strongly Agree (1)
- Agree (2)
- Neutral (3)
- Disagree (4)
- Strongly Disagree (5)
6. Would you recommend this internship site to other students?*
- Yes
- No
7. Overall, how would you rate this course. On a scale of 1-5, 1 - Poor to 5 - Excellent*
Additional Comments: