Agricultural & Extension Education 489
Internship in Agricultural Occupations
Monthly Activity Report
Date:
Name:
Position Title:
Name of Employer:
Name of Supervisor:
Month of Report:
❒ January
❒ February
❒ March
❒ April
❒ May
❒ June
❒ July
❒ August
❒ September
❒ October
❒ November
❒ December
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Add Additional Pages if Needed
Please provide any written
comments that you would like Dr. Connors, and/or your academic advisor to know
concerning your internship.
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Student Signature Date
Mail by at the end of each
month to:
Dr. Jim Connors
Department of Human and Community Resource Development
216 Agricultural Administration Building