Agricultural & Extension Education 489
Internship in Agricultural Occupations
10th Day Report
Date:
Name:
Position Title:
Name of Employer:
Name of Supervisor:
Questions:
1. What
date did you start your internship?
2. Where
you given an orientation to the business and your responsibilities?
❒ Yes
❒ No
3. Describe
the kind of work you have done since starting your internship.
4. Rate
your interpersonal relationship with your supervisor since beginning your
internship. (Check ✔
one response).
❒ Excellent
❒ Good
❒ Fair
❒ Poor
Explain:
5. Rate
your interpersonal relationship with your co-workers since beginning your
internship. (Check ✔
one response).
❒ Excellent
❒ Good
❒ Fair
❒ Poor
Explain:
6. Rate your satisfaction with your
internship so far. (Check ✔ one response).
❒ Excellent Explain:
❒ Good
❒ Fair
❒ Poor
7. Please provide any written comments that you would like Dr.
Connors, and/or your academic advisor to
know concerning your internship.
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Student Signature Date
Mail by the 10th
day of your internship to:
Dr. Jim Connors
Department of Human and Community Resource Development
216 Agricultural Administration Building