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IDAHO DEPARTMENT OF CORRECTION <br /> Internship Learning Plan <br /> Section 1: Student Information <br /> Name: Phone: <br /> Address: City: Zip: <br /> Email: College/University: <br /> Major: Classification: --Select-- <br /> A. What do you hope to learn or gain from an internship with the IDOC? (E.g., what are the learning objectives?) <br /> Please be specific. <br /> B. How will you accomplish the learning objectives? List the steps and please be specific. <br /> C. How will you measure the results? <br /> D. How do you see this internship affecting our short and long-term careergoals? <br /> E. If your college/university department head/professor approves of the information provided in A thru D, please <br /> provide the following information and obtain signature approval. His signature indicates that he has reviewed <br /> and agrees with this learning plan. <br /> School Dept Head/Professor's Email School Dept Head/Professor's Phone# <br /> School Dept Head/Professor's Name Signature Date <br /> Section 2: IDOC Information <br /> Internship Position Title: <br /> Internship Start Date: Internship End Date: <br /> Work Location Assigned: <br /> Intern Supervisor Assigned: <br /> Student's Assigned Work Schedule: <br /> A. The student will be evaluated on the following workplace skills and other specific duties assigned: <br /> • Attendance • Job Knowledge • Quality of Work • Versatility <br /> • Appearance • Learning Objectives • Quantity of Work • Working Relationships <br /> • Initiative • Observance of IDOC Policies • Self-confidence <br /> B. An Internship Description was provided to the student on: <br /> C. The student will require access to the following IDOC information technology infrastructure: <br /> ❑ EDOC ❑ Reflections ❑ CIS <br /> Student's Signature Date <br /> Site Internship Coordinator's Name Signature Date <br /> HRS Internship Coordinator's Name Signature Date <br /> HR-15 <br /> (Last updated 5/20/11 ) <br />