FORM #3

FORM #3

SOUTHERN ILLINOIS UNIVERSITY AT CARBONDALE COLLEGE OF APPLIED SCIENCES AND ARTS WEEKLY JOURNAL FOR INTERNSHIP EXPERIENCE

Name of Student: ___________________________________________

Student Signature:_________________________________________ Date: _________________

Name of Internship Work Site Supervisor: ______________________________________________

Supervisor's Signature:______________________________________ Date: ______________

FORMAT:

I. DATE (Week covered by journal entries)

II. ANNOTATED DESCRIPTIVE LIST OF ACTIVITIES PER DAY*

III. AMOUNT OF TIME DEVOTED TO EACH ACTIVITY PER DAY

IV. TOTAL HOURS WORKED PER THE DAY AND WEEK

*Use action verbs and write multiple statements. Use a table format with three columns. See example below .

Activity	Date	Time Spent
Conducted systems analysis of ________.	mm/dd	4 hours
Prepared a presentation of __________.	mm/dd	2 hours
Completed form for ________.	mm/dd	½ hour
Wrote the procedures to ___________.	mm/dd	2 hours
Assisted user to learn _________.	mm/dd	1 ½ hours
	Total	10 hours

This form is designed so you can print it and use it for your internship. You will need to delete the format section and sample, then key in your own table of activities and time spent.