Fifth Survey – Internship Completion – Employer Your Name(Required) First Last Your Company Email Address(Required) Your Company Name (the Placement Site)(Required)Name of Participant (Intern)(Required) First Last Was the participant prepared for their Internship?(Required) Yes No What type of placement position did the participant have?(Required)Community ClinicCrisis Intervention TeamHospital SettingEmergency DepartmentOutpatient ServicesDrug/Alcohol Rehab SettingFire/Police DepartmentCounty Social ServicesCommunity Based Organization (CBO)OtherWas their placement a Paid or Unpaid position?(Required) Paid Unpaid What was the Participant’s greatest Strength? Please pick the most important one for you.(Required)CommitmentPreparedFocusKnowledgeA VarityOtherWhat was the Participant’s greatest Challenge? Please pick the most important one for you.(Required)Lack of CommitmentNot PreparedLack of FocusKnowledgeNoneOtherWill you be able to recommend the participant for future job opportunities?(Required) Yes No
