The externship program relies upon certain forms to document a student’s participation in the program, enable timely feedback and evaluation, and provide general information to students and placement offices alike. These forms are grouped below under Student and Supervisor categories.
The informational documents appear in a read-only format, while the documents meant to be completed and submitted are in a format that enables the user to download them to a computer, edit and then save and attach to an email. In order to edit such a document, please click on the appropriate link below, depending on your browser, the document may download to your computer or open in a browser window. If the form opens in your browser, right click on the document and save it to your computer, do not fill the form out in your browser as the fields will not save. Once it is downloaded, you can edit it, save it and attach it to an email.
Student / Extern Documents
- Externship Program General Information (PDF, read only)
- Externship Student Application (PDF, editable)
- Extern Information (PDF, editable)
- Placement Plan (PDF, editable)
- Weekly Time Log (PDF, editable)
- Weekly Time Log – Example (PDF, read only)
- Journal (Word DOC, editable)
- Mid-Placement Evaluation (PDF, editable)
- Final Evaluation (PDF, editable)
- Student Evaluation (PDF, editable)
- Requirements Summary (PDF, editable)
Supervisor / Placement Office