Form Number 3 – PERIODIC REPORT
Internship Student Report | Month #?
Start Date: ___/___/___ End Date: ___/___/___
| Student’s Name: | Student’s ID Number: |
| Training Organization: | Trainee Department: |
| Trainee Supervisor Name: | Faculty Member: |
| Course: | CRN: |
| Academic Year/Semester: |
(Instructions)
- This report must be submitted on Blackboard (WORD format only) via the allocated folder.
- Email submission will not be accepted.
- Your work should be clearly and completely presented; marks may be reduced for poor presentation. This includes filling your information on the cover page.
- Assignment will be evaluated through BB Safe Assign tool.
- Late submission will result in ZERO marks being awarded.
- This work should be your own, copying from students or other resources will result in ZERO marks.
- Use Times New Roman font 12 for all your answers.
(Report Components)
| Task(s) | What are the activities and tasks given to you during this month? |
| New skill(s) | What skills did you learn through the month? |
| Meeting(s) | How many meetings did you attend? |
| Difficulty/ Challenge(s) | What are the difficulties you had this month? |
| How did you overcome these difficulties? | |
| Learning | What did you learn from completing the tasks |
| What did you want to learn more? | |
*Note:
1. This report is a summary of the training activities performed.
2. You may attach additional pages if needed. And student can attach any extra note to this form.
Name: ____________________________ Signature: ___________________________
