Health Law Externship Student Evaluation Form

ADVERTISEMENT
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
This form should be completed by the student at the end of their externship term. Please submit to Kristin Finn at
Kfinn1@luc.edu.
Date:___________ Name:__________________________________ Degree Program/Year:______________
Phone:_______________ Email:__________________________ Desired Semester ____________________
Are You Registered for Credit?
YES
NO
Credit Hours ________________________
Externship Site:____________________________ Supervisor:_____________________________________
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
(Please briefly describe how/whether this externship allowed you to meet your externship goals.)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please rate the frequency of the following activities of your extern experience, with a rating of 0 indicating
“never,” 1 indicating “occasionally,” 2 indicating “most of the time,” and 3 indicating “always.”
1) Legal research
0
1
2
3
2) Legal writing
0
1
2
3
3) Meetings with attorneys or coworkers
0
1
2
3
4) Meetings with your supervisor
0
1
2
3
5) Inclusion in department activities/meetings
0
1
2
3
SITE FEEDBACK
SITE FEEDBACK
SITE FEEDBACK
SITE FEEDBACK
(Please describe your overall experience at your site. Is this an experience you would recommend to other
students? What would you change? Did your supervisor provide you with adequate feedback?)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
_________________________________________
Student
Student Si Si Si Signature & Date
Student
Student
gnature & Date
gnature & Date
gnature & Date
For Internal Use Only Date Received___________________
For Internal Use Only
Credits Awarded_________________________________________
For Internal Use Only
For Internal Use Only
Notes_______________________________________________________________________________________________________
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
HEALTH LAW EXTERNSHIP STUDENT EVALUATION FORM
This form should be completed by the student at the end of their externship term. Please submit to Kristin Finn at
Kfinn1@luc.edu.
Date:___________ Name:__________________________________ Degree Program/Year:______________
Phone:_______________ Email:__________________________ Desired Semester ____________________
Are You Registered for Credit?
YES
NO
Credit Hours ________________________
Externship Site:____________________________ Supervisor:_____________________________________
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
ATTAINMENT OF GOALS
(Please briefly describe how/whether this externship allowed you to meet your externship goals.)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please rate the frequency of the following activities of your extern experience, with a rating of 0 indicating
“never,” 1 indicating “occasionally,” 2 indicating “most of the time,” and 3 indicating “always.”
1) Legal research
0
1
2
3
2) Legal writing
0
1
2
3
3) Meetings with attorneys or coworkers
0
1
2
3
4) Meetings with your supervisor
0
1
2
3
5) Inclusion in department activities/meetings
0
1
2
3
SITE FEEDBACK
SITE FEEDBACK
SITE FEEDBACK
SITE FEEDBACK
(Please describe your overall experience at your site. Is this an experience you would recommend to other
students? What would you change? Did your supervisor provide you with adequate feedback?)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
_________________________________________
Student
Student Si Si Si Signature & Date
Student
Student
gnature & Date
gnature & Date
gnature & Date
For Internal Use Only Date Received___________________
For Internal Use Only
Credits Awarded_________________________________________
For Internal Use Only
For Internal Use Only
Notes_______________________________________________________________________________________________________

Download Health Law Externship Student Evaluation Form

203 times
Rate
4.3(4.3 / 5) 14 votes
ADVERTISEMENT