1. Your first and last names *

2. Employer's name *

3. Name of extern *

4. Number of days extern was with you? *

• 1
• 2
• 3
• 4
• 5
• Other:

5. Did the student assist in the planning of the externship activities? *

• Yes
• No

6. Was the student flexible during the planning process? *

• Yes
• No

7. Did the student ask questions and actively participate in the externship? *

• Yes
• No
• Other:

8. Please rate the student's level of professionalism, i.e., punctuality, attire, and general manners: *

• Excellent
• Good
• Fair
• Poor
• Other:

9. Please rate the student's level of preparedness with prior knowledage about your organization and industry: *

• Excellent
• Good
• Fair
• Poor
• Other:

10. Did you provide housing as part of your externship? *

• Yes
• No

11. Do you anticipate keeping in touch with the student? *

• Yes
• No
• Other:

12. Based on your experience, would you host another Reed extern next year? If no, please explain. *

• Yes
• No
• Other:

13. Would you be interested in helping students obtain internships at your company? If so, career services will contact you. *

• Yes
• No
• Other:

14. How satisfied were you in your dealings with career services? *

• Very
• Somewhat
• Not Really
• Not at All
• Other:

15. Please help us grow the Reed Externship Program for Winter 2013. Who else should we invite to sponsor externships next winter?

16. Please add any comments you wish to share.