Administrative Internship Collaboration Log
(Please submit at least four completed logs at end of internship)
Name of Intern:
Internship Site:
Site of Collaboration: Date of Contact:
Person(s) Present:
Concerns Discussed:
Are there any reasons to terminate this internship at this time? No ___________ Yes ______________
If yes, please identify:
College Supervisor Signature: __________________________________________ Date: _________________
Intern Signature*: ____________________________________________________ Date: _________________
*Intern signature indicates that the Intern has read this report. It does not signify agreement with the contents.
upd 5/30/18
click to sign
click to edit
click to sign
click to edit