Form Ds-7002 - Training/internship Placement Plan Template - U.s. Department Of State Page 2

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Program Sponsor Name

Program Number

TRAINING/INTERNSHIP PLACEMENT PLAN

An acceptable Training/Internship Placement Plan should cover a definite period of time and should consist of definite phases of training or tasks

performed with a specific objective for each phase. The plan must also contain information on how the trainees/interns will accomplish those

objectives (i.e. classes, individual instruction, shadowing, etc.). Each phase must build upon the previous phase to show a progression in the

training/internship. A separate copy of page 2 must be completed for each phase if applicable (i.e.; if the trainee/intern is rotating through different

departments).

Field of Training/Internship

Name of Trainee/Intern (Last, First, MI)

Name of Phase

Start Date for this Phase

End Date for this Phase

Phase

(mm-dd-yyyy)

Specific Objective for This Phase

Skills to be Imparted for This Phase

Justification for On-The-Job Training

Chronology or Syllabus of Training or Tasks Performed During This Phase