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This form will need to be completed for each student hired. Business Information Agreement #: Company Name: Address: City: State: Zip: Person Completing Form: Phone Number: (ex. 605551234) Student Information Student Name: Educational Institution: Major/Degree Pursuing: Expected Graduation Date: Wage Paid: Total Earnings: Internship Start Date: Internship End Date: Program Evaluation 1. Do you feel you had a quality pool of applicants from which to select your student? YesNoNot Applicable 2. Was the student adequately prepared to perform the duties you assigned? YesNoNot Applicable 3. Would you pursue a permanent employment opportunity with the student? YesNoNot Applicable 4. Did you find it easy to apply for funding? YesNoNot Applicable 5. Did you find it easy to post the position on the website? YesNoNot Applicable 6. Did the project and the student benefit your business? YesNoNot Applicable 7. Additional Comments:
This form will need to be completed for each student hired.
Agreement #:
Company Name:
Address:
City: State: Zip:
Person Completing Form:
Phone Number: (ex. 605551234)
Student Information
Student Name:
Educational Institution:
Major/Degree Pursuing:
Expected Graduation Date:
Wage Paid:
Total Earnings:
Internship Start Date:
Internship End Date:
Program Evaluation
1. Do you feel you had a quality pool of applicants from which to select your student?
YesNoNot Applicable
2. Was the student adequately prepared to perform the duties you assigned?
3. Would you pursue a permanent employment opportunity with the student?
4. Did you find it easy to apply for funding?
5. Did you find it easy to post the position on the website?
6. Did the project and the student benefit your business?
7. Additional Comments:
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