Internship Information Form

Internship Information Form

Additional Internship Forms

Post Work Experience Form

Employer Evaluation

This form is to be completed by interns during the first two weeks of their internship. If questions, contact Career Services at pelzlcl@uwec.edu.

Name
First Name:
MI:
Last Name:
Address During Internship
Address 1:
Address 2:
City:
State:
Zip Code:
Phone No.:
Email:
Employer
Employer Name:
Immediate Supervisor's Name:
Supervisor's Title:
Supervisor's Email:
Department:
Work Address
Address 1:
Address 2:
City:
State:
Zip Code:
Phone No.:
Fax No.:
Internship Start Date:
Internship End Date:
Pay/Hr.: $
Hours Worked:

July 10, 2008