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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

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Employer

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Supervisor

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Instructor

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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

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Objective 2 Hours

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Objective 3 Hours

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Objective 4 Hours

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Supervisor Student Instructor

____________ ____________ ____________


date 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

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____________________________________________________________________________________

______________________________ _____________________________ _____________________________


Supervisor Student Instructor

____________ ____________ ____________


date 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
 Student
 Instructor

______________________
 ______________________
 ______________________




Date
 


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_________________

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