The College of New Jersey
Women’s and Gender Studies/Women in Learning and Leadership
Internship Completion Form
This form is a required part of your Internship Portfolio. Please complete it and include it with your journal and research project.
Your name _____________________________________________________________
Name of internship site ___________________________________________________
Supervisor’s name _______________________________________________________
How were these hours distributed over the weeks you spent on the job? (Start and end dates, as well as hours per week if you worked regularly; if your work schedule fluctuated, attach a detailed accounting of your time.)
____________________________________________________________________________
Overall experience Extremely Positive Positive Average Below Average Negative
Acquired new knowledge and skills Extremely Positive Positive Average Below Average Negative
Relevance to major/minor Extremely Positive Positive Average Below Average Negative
Varied, challenging tasks Extremely Positive Positive Average Below Average Negative
Mentoring relationship Extremely Positive Positive Average Below Average Negative
Gained experience related to career plans Extremely Positive Positive Average Below Average Negative
Opportunity to expand professional network Extremely Positive Positive Average Below Average Negative
Recommend experience to peers Extremely Positive Positive Average Below Average Negative
Signature of student _____________________________________________________________________