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Please complete the following items about yourself as the student intern.

First Name

Last Name

Phone Number

Preferred Email Address

What is your academic classification?

Who is your AGCM academic adviser? Select one.

Please complete the information below.

Name of Company or Organization

First Name of Intern Supervisor

Last Name of Intern Supervisor

Intern Supervisor's Position Title

Intern Supervisor's Work Phone Number (###-###-#### format)

Supervisor's Cell Phone Number (###-###-#### format)

Intern Supervisor's Preferred Email Address

Best way to contact

In what town did you work? Please provide City and State.

What was your work schedule?

Start Date (mm/dd/yyyy)

End Date (mm/dd/yyyy)

Average Hours Worked Per Week (number)

Total number of hours worked

What was your internship title?

What was the primary focus of your internship?

Graphic Design
Photography
Photo Editing
Writing
Web Design
Online Content Management
Advertising/Public Relations — Agency
Advertising/Public Relations — In-house
Videography
Other (please specify):

What various roles did perform in your internship? Check all that apply.

Graphic Design
Photography
Photo Editing
Writing
Web Design
Online Content Management
Advertising/Public Relations — Agency
Advertising/Public Relations — In-house
Videography
Radio
Other (please specify):

Identify and describe your most valuable learning experience during the internship.

Identify and describe any negative and/or least productive experiences you encountered during the internship.

Were there any work experiences that you desired to take part in but were unable to do so? What were the reasons given, if any, for you not participating?

In what ways did your immediate supervisor contribute directly to your learning?

What contributions did you make to the output of the organization during your internship? Cite specific examples.

Overall, how would you rate the quality of this internship experience?

Would you recommend this internship to another student?

Why or why not?

Was your campus preparation adequate for the challenges of the internship?

Why or why not?

Did this internship affect your career goals? Please explain why this is the case.

Division of Agricultural Sciences and Natural Resources, Oklahoma State University