Student Internship Questionnaire

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ISAT Student Internship Questionnaire

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STUDENT INFORMATION Student ID (peoplesoft #):
Name (First M. Last):
Street Address(permanent):
City:
State: Zip:
Email:

INTERNSHIP COMPANY / POSITION INFORMATION Company Name:
Department (if applicable):
Street Address:
City:
State: Zip:
Contact Person:
Contact Phone Number:
Contact Email:
Company Website:
Internship Position Title:

Internship Responsibilities:

Date Internship Began (mm/dd/yyyy):
Date Internship Ended (mm/dd/yyyy):

Was this a paid internship?

If YES, pay rate: per

* Answering Pay Rate question is optional. If you choose to answer this question, the information will remain confidential and used only for statistical purposes.

How did you hear about your internship:

Rate your internship experience:

Additional Comments about your internship:

For more information about ISAT Internships, contact Lynn Radocha
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Last Updated Thursday, February 22, 2007 9:50