Health Law Externship Student Evaluation Form printable pdf download

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

Credit Hours ________________________

Externship Site:____________________________ Supervisor:_____________________________________

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

2) Legal writing

3) Meetings with attorneys or coworkers

4) Meetings with your supervisor

5) Inclusion in department activities/meetings

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

gnature & Date

For Internal Use Only Date Received___________________

For Internal Use Only

Credits Awarded_________________________________________

For Internal Use Only

Notes_______________________________________________________________________________________________________

Health Law Externship Student Evaluation Form