RSU
Social and Behavioral Sciences
Site Information Form:
Intern Form
 

Instructions:
This form allows interns to provide information about their internship site. Copies of this form will remain on file for future students to review when seeking internships. Answer all items completely and feel free to include additional information that you think is relevant. 

Internship Site Name  
Site Address
Site Supervisor Name  
Supervisor's Title/Position
Supervisor's Phone
xxx-xxx-xxxx
Supervisor's email  
Intern Name
Intern Major
Intern's Prior Experience
Intern's other Qualifications
Date: Mo/Day/Yr
Describe services provided by this site, clients served, and other activities
Describe expected learning opportunities, responsibilities, and expectations for this internship site

Indicate which days of the week and hours of the day you are likely to intern at this site

Thank you for your time in completing this information form about your internship site.