STUDENT Reported Internship Placement Survey

*
1. Your full name

Your full name

*
2. Your email address

Your email address

*
3. Name of your college/university

Name of your college/university

*
4. Major

Major

*
5. Name of company

Name of company

*
6. Name and title of supervisor / person to whom you
reported

Name and title of supervisor / person to whom you
reported

*
7. Job title of the internship

Job title of the internship

*
8. Salary/compensation (amount paid per hour, stipend
value, scholarship, credit, unpaid, etc.)

Salary/compensation (amount paid per hour, stipend
value, scholarship, credit, unpaid, etc.)

*
9. Date you started the internship

Date you started the internship

*
10. End date/duration of internship

End date/duration of internship

11. Would you recommend placing another intern with this
company? Why or why not?

Would you recommend placing another intern with this
company? Why or why not?

12. Please provide any additional comments you would like
to share (about the internship experience; about
NEOintern; etc.)

Please provide any additional comments you would like
to share (about the internship experience; about
NEOintern; etc.)

Thank you for taking the time to report this information about your internship.

STUDENT Reported Internship Placement

*1. Your full name

*2. Your email address

*3. Name of your college/university

*4. Major

*5. Name of company

*6. Name and title of supervisor / person to whom you reported

*7. Job title of the internship

*8. Salary/compensation (amount paid per hour, stipend value, scholarship, credit, unpaid, etc.)

*9. Date you started the internship

*10. End date/duration of internship

11. Would you recommend placing another intern with this company? Why or why not?

12. Please provide any additional comments you would like to share (about the internship experience; about NEOintern; etc.)