STUDENT DEVELOPMENT IN HIGHER EDUCATION
CENTRAL CONNECTICUT STATE UNIVERSITY
Department of Counselor Education and Family Therapy
Student Development in Higher Education-Academic Internship – Student Evaluation of Academic Internship Site – CNSL 592
Student Name__________________________________________________
Institution for Academic Internship Site: ____________________________
Name of Office_________________________________________________
Supervisor’s Name and title_______________________________________
Supervisor’s phone number_________________/email_________________
Describe the types of tasks you were given to perform:
Was there an appropriate place for you to work with the appropriate level of privacy? Yes ______ No______ Were there any physical problems with the worksite? Yes _____ No ______ If yes, please describe.
Did your supervisor set aside adequate time to answer questions and provide support and guidance and one-on-one supervisor? Yes _____No ______
Please explain any difficulties.
Did you supervisor give you opportunities to meet with other staff members from the campus whose work connected to the work you did?
Yes _____ No ___
Would you recommend this site to other students? Yes______ No______
Please explain.
Other comments – Use back if necessary.
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