Instructions for Internship Plan

Please use the following survey format to upload your Midterm Report which will be based on your learning objectives and action steps. Recall that the learning objective is what you hope to learn from this internship experience. The internship project objectives are defined by you and your preceptor and they include the steps you need to take to complete the project they have assigned to you. This Midterm Report will be an update on those objectives. Copy and paste what you started on a word document.

Question Title

* 1. First and Last Name

Question Title

* 2. Internship Region

Question Title

* 3. Internship Site Name

Question Title

* 4. List your first learning objective here:

Question Title

* 5. Status on your first objective and action steps

Question Title

* 6. List your second learning objective here:

Question Title

* 7. Status on your second learning objectives

Question Title

* 8. List your third learning objective here.

Question Title

* 9. Status on your third learning objectives

Question Title

* 10. List your project objectives here. This is related to the project that you are assigned during the internship

Question Title

* 11. Status on the actions steps for your project objective. These are the steps you need (include dates and milestones) to take in order to complete your project.

Question Title

* 12. Please add additional learning objectives here if you have more than 3. Include the status of your action steps for each objective.

T