2. Name*
3. Employer/Organizations*
5. Teacher/Instructor who was at your location for the Externship*
9. Answer the following questions with 1-5

   5 - Strong Agree

   4 - Agree

   3 - Neutral

   2 - Disagree

   1 - Strongly Disagree

11. 1. I was contacted in enough time to make plans for hosting a teacher extern. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
13. 2. I received information I needed to set up the externship.*
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
15. 3. My role in providing the externship was clear. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
17. 4. The teacher extern was able to obtain information about my company and my industry that will be useful to students.*
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
19. 5. The amount of time the teacher extern spent at my business/organization was appropriate. *
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
21. 6. I would host another teacher extern next year*
    -- Select One --5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly Disagree
25. What could have been done to help you better plan for the externship?*
27. What could have been done to help make the experience more valuable for you or your company?*
29. What could be done to improve the externship program?*
31. Any additional comments
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33. 1. Receive an email copy of this form.
34. Email address

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35. Submit

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