Internship Verification Form
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1INTERNSHIP VERIFICATION FORM
(submit to Mrs. Shanley each week for credit)
Student __________________________________________ Date __________________
Arrival Time _________________
Departure Time ________________
Place of Service __________________________________________________________
Type of Tasks Today ______________________________________________________
** Comments from Supervisor ______________________________________________
________________________________________________________________________
** Signature of Supervisor __________________________________________________
CHOICE Program / JDHS / Lara Dzinich, CHOICE Advisor / 523-1530 /
INTERNSHIP VERIFICATION FORM
(submit to Mrs. Shanley each week for credit)
Student __________________________________________ Date __________________
Arrival Time _________________
Departure Time ________________
Place of Service __________________________________________________________
Type of Tasks Today ______________________________________________________
** Comments from Supervisor ______________________________________________
________________________________________________________________________
** Signature of Supervisor __________________________________________________
CHOICE Program / JDHS / Lara Dzinich, CHOICE Advisor / 523-1530 /
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