Itec Intern New Version
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DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY Student __________________________________
Student ID# ___________________________________
Employer_________________________________
Supervisor ____________________________________
Instructor ________________________________
Instructor’s Phone _____________________________
INTERNSHIP CONTACT INFORMATION Student ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Employer ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Supervisor ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Instructor ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
INTERNSHIP OBJECTIVES Objective 1
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 2
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 3
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 4
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
______________________________ Supervisor ____________ date
_____________________________ _____________________________ Student Instructor ____________ date
____________ date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
PROJECT DESCRIPTION & TIMELINE ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
______________________________ Supervisor ____________ date
_____________________________ _____________________________ Student Instructor ____________ date
____________ date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
Evaluation – How well were the objectives met? Objective 1
Objective 2
Objective 3
Objective 4
______________________ Supervisor ______________________ Date
______________________ Instructor ______________________ Date
______________________ Student ______________________ Date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415‐338‐1509 • Fax: 415‐338‐0510
Semester ________________Year_________________
Student ID# ___________________________________
Employer_________________________________
Supervisor ____________________________________
Instructor ________________________________
Instructor’s Phone _____________________________
INTERNSHIP CONTACT INFORMATION Student ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Employer ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Supervisor ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Instructor ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
INTERNSHIP OBJECTIVES Objective 1
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 2
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 3
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Objective 4
Hours
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
______________________________ Supervisor ____________ date
_____________________________ _____________________________ Student Instructor ____________ date
____________ date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
PROJECT DESCRIPTION & TIMELINE ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
______________________________ Supervisor ____________ date
_____________________________ _____________________________ Student Instructor ____________ date
____________ date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415-338-1509 • Fax: 415-338-0510
Semester ________________Year_________________
DEPARTMENT OF INSTRUCTIONAL TECHNOLOGIES SAN FRANCISCO STATE UNIVERSITY
Student __________________________________
Student ID# ___________________________________
Evaluation – How well were the objectives met? Objective 1
Objective 2
Objective 3
Objective 4
______________________ Supervisor ______________________ Date
______________________ Instructor ______________________ Date
______________________ Student ______________________ Date
San Francisco State University • 1600 Holloway Avenue • San Francisco, CA 94132 ITEC Department, Burk Hall 163 • Phone: 415‐338‐1509 • Fax: 415‐338‐0510
Semester ________________Year_________________
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