Official Internship Survey Form .pdf
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INTERNSHIP SURVEY FORM
NAME
DATE OF BIRTH (MM/DD/YR)
GENDER
MALE
FEMALE TERM /ACADEMIC YEAR
ADDRESS
LANDLINE NUMBER
MOBILE NUMBER
EMAIL ADDRESS
STUDENT'S PROFILE
BUSINESS NAME
BRIEF BUSINESS DESCRIPTION
BUSINESS STATUS
OPERATING
PROPOSED (SUBJECT FOR APPROVAL)
TECHNICAL SKILLS (e.g.
CREATIVE WRITING, WEB
DESIGNING, ETC)
STRENGTHS AND WEAKNESSES (e.g. INTERPERSONAL SKILLS, PUNCTUALITY, ETC)
STRENGTHS
INTERESTS
WEAKNESSES
WHAT ARE THE SKILLS THAT YOU
WANT TO LEARN AND HONE
FROM THE INTERNSHIP? (For
instance, Accounting,
Management, etc)
WHAT ARE THE VALUES THAT YOU
WANT TO ESTABLISH AND
CULTIVATE FROM THE INTERNSHIP?
(For instance, confidence,
patience, etc)
HOW CAN THE SCHOOL PREPARE
YOU FOR THE INTERNSHIP? What
seminar/workshop/training/similar
activities would you want to
undergo before the internship?
IMPORTANT. Please list any health concern:
FILED BY
APPROVED BY
PROCESSED BY
STUDENT / DATE
VICE DEAN / DATE
REGISTRAR / DATE
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