APPENDIX A INTERNSHIP INTERVIEW Department of Recreation, Park and Tourism Administration Western Illinois University To be completed by student: Student Name ________________________________________________________________________________ Address _____________________________________________________________________________________ _____________________________________________________________________________________________ city state zip Cell (_______) ______________________ -------------------------------------------------------------------------------------------------------------------------------------------Students are required to interview with three (3) potential sites for internship placement. Final decision will be made in consultation with the Internship Coordinator of the department. Feedback is appreciated. To be completed by interviewer and returned to: Internship Coordinator Recreation, Park and Tourism Administration Western Illinois University Currens Hall 400 Macomb, IL 61455 OR you may fax it to: 309/298-2967 OR e-mail to: rpta@wiu.edu Agency/Org/Business __________________________________________________________________________ Address _____________________________________________________________________________________ _____________________________________________________________________________________________ city state zip Telephone (_______) ______________________ Interviewed by: _________________________________Interviewer’s Position _____________________________ Please check one: ________ (on site) ______ (telephone) Date of Interview_______________________________ Strengths: Things to work on: Based upon the interview we would _________ would not ________ offer an internship to the above student. This is not an official offer, but rather an evaluation of interview skills. If you choose to offer an intership, please contact the student directly. Macomb QC