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Student Internship Report Form
Name:
Confidential Personal Details
Address (home):
Address (work):
Phone Work:
Mobile:
Date of Birth:
Monash Degree/ year of study:
Current employment: (if applicable)
Internship report:
Background of the student, eg degree program, year of study, interests and reasons for
seeking out/ applying for internship, other internships or similar experience
Outline of the internship and tasks involved
Outline of the host organisation
Total Cost of internship experience
Who, in your opinion, is the internship suited to
Advice for others wanting to apply or seek out this type of opportunity
How you found out about the internship/organisation and application process
Best and worst experiences during your time
‘My advice’ for anyone interested in pursuing this or another form of internship
Personal details are
strictly confidential