Internships :: Internship Preassessment Student Evaluation

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Dr. Scott Morris, a family practice physician and ordained United Methodist minister, founded the Church Health Center in 1987 to provide quality, affordable healthcare for working uninsured people and their families. The Church Health Center offers internships to students who want to be part of a ministry that cares for the whole person - body and spirit. In addition to the Center's Clinic, Hope & Healing, Faith Community Ministries and the MEMPHIS Plan, internship opportunities are also available in not-for-profit administrative areas including public affairs, fundraising and development. Find application form at: internships@churchhealthcenter.org or mail written request to Internship Program, Church Health Center, 1210 Peabody Avenue, Memphis, TN 38104.

—Church Health Center

Internship Preassessment Student Evaluation

Congratulations on accepting an internship! Your individual responses to this survey will remain anonymous and will be used to educate other students at the University of Memphis about internship opportunities. Please complete this form and click submit below. This should be completed before starting your internship.

If you have any questions regarding the internship experience, please contact internships@memphis.edu.

* denotes a mandatory field

* Name:

* U of M Email Account: (ex. jsmith@memphis.edu)

* College/School:

* Major in College/School:

* Classification:

* Internship Semester: * Year:

* Is the Internship for Academic Credit?

Does the Internship offer Compensation?

If yes, how are you paid?

Number of Hours Per Week:

Internship Company/Organization:

Location of Internship Site:

On Site Supervisor's name:

On Site Supervisor's email:

* How did you find your internship? (Please select all that apply)
eRecruiting
Career and Internship Expo
Staff Member
Faculty Member
Another Student
Family Member
Network Referral
Other:

* Please rate the extent to which you believe you are prepared to participate in an internship experience. Identify the level of your preparation in response to the following professional knowledge/skills/attitudes:

	1=poor	2=below average	3=average	4=above average	5=excellent
Communication Skills (verbal and written)
Honesty/Integrity
Interpersonal Skills (relates well to others)
Motivation/Initiative
Professional Work Ethic
Teamwork Skills (works well with others)
Technological Skills
Analytical Skills (i.e. understands complex situations)
Flexibility/Adaptability
Detail-oriented
Organizational Skills
Leadership Skills
Self-confidence
Creativity
Time Management Skills
Problem Solving Skills
Dependability (Punctuality)
Sensitivity to Organizational Culture

Comments

Please provide any comments regarding your experiences during the internship application process. You may choose to note the contributions of faculty, staff, and/or on site internship supervisors.

Problems with survey? Please email Webmaster

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Last Updated: 2/1/12