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