| Student Name |
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| Class |
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| Major/Minor |
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| Term |
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| Placement |
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| Employer |
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| Employer Location |
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| Department or Work Area |
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| Job Title |
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| Dates worked |
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| Number of hours/week |
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| Rate of pay |
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| Total Earnings for Term |
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| Have you worked with this employer before? |
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| Supervisor |
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| Supervisor's Phone # |
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1. Give a brief description /overview of your co-op or internship employer. Please include history (when established or founded), mission statement, vision, goals, products and services.
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2. Briefly describe your internship or co-op assignment. Did it change as you progressed through the experience? If so, in what way?
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3. Over the duration of this assignment, do you feel your work was important and valuable to the organization, division or department? Explain.
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4. Did you accomplish the learning objectives established at the beginning of your experience? If no, please explain what prevented you from doing so? Did you find developing specific learning objectives helpful? Why?
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5. Discuss the specific relationship or connection of this assignment to your major/minor coursework you have completed and your future career interests. Give examples.
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6. Discuss how you developed or increased your knowledge, skills and competencies for your career field through this internship or co-op experience. Include any new work skills and knowledge you acquired e.g., communication, analytical, research, computer/technical, writing, etc.
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7. What were the best features of this assignment? What were the most challenging aspects of your internship or co-op assignment?
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8. In what ways did this work learning experience confirm or modify your future career plans?
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9. What strengths and weaknesses did you discover about yourself? How will you build on these strengths and address any weaknesses?
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10. Describe your relationship with your supervisor or mentor in terms of providing adequate direction, guidance, constructive feedback, supervision and general concern for you as an intern or co-op.
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11. Was this your first co-op or intern assignment with this employer? Will you be returning for another assignment with this employer or a different one? If so, with whom and when?
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12. On a scale of 1-10, how would you rate your overall experience? Would you recommend this internship or co-op to your peers in the same field of study?
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13. Where you offered a full-time job upon completion of the assignment or upon graduation? Did you accept the offer?
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14. We value your feedback! Please tell the Career Center and CEO Office how we can better serve you and encourage more FSU students to consider an internship or co-op assignment, before graduation.
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15. Additional comments:
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Typing your name denotes your official signature
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