2. Name*
3. School*
5. Employer Location*
6. Dates of Externship*
8. Provide a brief explanation of activities you participated in during your externship. This should include jobs/work processes you learned about and real world experience you gained:*
12. Answer the following questions with 1-5

    5 - Strong Agree

    4 - Agree

    3 - Neutral

    2 - Disagree

    1 - Strongly Disagree

14. 1. The externship was connected to my subject matter expertise? *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
16. 2. The experience made me more aware of workplace readiness (problem solving, technology, communication) required by the employer. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
18. 3. During the experience, I was able to identify ways in which I could incorporate skills needed in the occupation(s) observed into my classroom instruction. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
20. 4. The information I received prior to the externship provided an adequate and clear understanding of what to expect.*
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
22. 5. The amount of time I spent as an extern was appropriate. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
26. On the externship application, you were asked the following question: "As a result of participation in this externship program, I hope to...". Did you externship experience meet those expectations? On a scale of 1-5, rate how well the externship program met those expectations. *
28. What did you learn from the externship that was unexpected?*
30. What could have been done to make the externship experience more meaningful to you?*
32. For the employer/industry you were at for your externship, what type of skillsets are required to be a successful employee?*
34. How did the externship experience inform you about these skillsets?*
36. What type of information did you learn from the externship, that you can provide to you students, to better prepare them for the workforce?*
38. Would you participate in an externship again?*

    1. Yes
    2. No
40. Any additional comments?
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