Site Feedback Form for Youth Internships

Instructions: Thank you for participating in our internship stipend program! Please fill out the following questions. We appreciate your feedback!

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* 1. Site Information

Supervisor Name

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* 2. What did your intern work on?

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* 3. How likely are you to participate in the program again?

Very likely

Somewhat likely

Still Uncertain

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* 4. Is there anything else you’d like to share with us about your experience?

The Northwest Portland Area Indian Health Board, We Are Healers, and We R Native and are committed to supporting American Indian & Alaska Native youth (14-24 years old) interested in pursuing healthcare professions.

Acknowledgements: This work is supported by the Administration for Native Americans, grant number: 90NC0022 (We R Native Youth Development Project).