Course Forms
2013 - 2014

Below is a list of the information sheets and forms associated with this course. With the exception of the Student Evaluation form, all of these are to be completed by the student as indicated in the instructions contained in the course description. The Student Evaluation form should be completed by the intern's immediate supervisor.

Course
Information/Forms
 Purpose
Download
Application Form An application form must be on file with the course preceptor before the field placement process begins.
[Word]
Résumé Template This PDF presentation was prepared by the UW Career Center and providesgeneral instructions and guidance for developing a résumé to be attached to your intership application form, and which will serve as a very good basis for applying for other positions
[PDF]
Course Syllabus A pdf version of the course syllabus.  This is the same as the page on this web-site.
[PDF]
Placement Report This report needs to be completed and returned to the course preceptor immediately after you have accepted an internship position.
Agency Guidelines This is a pdf document that goes to the organization or agency with which the student is working, so that they are aware of the expectations for both the agency host and the students.
[PDF]
Daily Log Sheet This is an optional form that the student should complete if the agency or organization for whom he or she is working does not have a standard form for recording their time/activities.
[Word]
Student Involve- ment Record Form Use this form to record the programs and types of activities in which you participate during the internship
[Word]

Midterm Report Form

This form should be completed and mailed to the course preceptor during the fifth week of the internship
[Word]
Student Evaluation Form This form is for the use of the field supervisor in evaluating the student's performance during the course of the internship.
[Word]
Send mail to: ctreser@u.washington.edu
Last modified: 10/13/2011 @ 3:06 pm