Please submit this form to the internship coordinator periodically during your
internship, based on your syllabus or instructions from the coordinator.

If you would prefer to print out the form, fill it out and mail it or fax it, please download the PDF file here. You will need Adobe Acrobat Reader to acquire this form online.

Student Name:
Last Name First Name

Email

Place of Employment

This is my 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th report

1. Describe your work for this reporting period. (Include samples if applicable)

2. What was your biggest success?

3. What was your biggest problem?

4. Were there any other problems that you think we should know about?

5. What have you learned in JMC courses that has been most helpful to you as an intern?

6. Is there something you wish you had been taught that would have helped?