High School Internship Program Toolkit

View and download these sample forms to help you set up your own internship program.
Click the link below to download a .zip containing all of the forms, or download the individual files listed below.

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​High School Internship Program Toolkit .zip

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Program Model

• Recommended Duties & Opportunities (doc)
• Internship Information (doc)
• Intern Worksheet: Health Occupations Exploration (doc)
• ​Suggested Department Rotations (doc) 
• WBL (Work Based Learning) Guidelines (pdf) 
• Roadmap for Creating a Health Care Work-Based Learning Program (pdf)

Evaluations & Observations

• ​PRE Internship Student Survey (pdf)
• POST Internship Student Survey (pdf)
• POST Student - Guest Presentation Survey (pdf)
• POST Student - College / University Tour Survey (pdf)
• ​POST Student - Industry Tour (pdf)
• Employer Evaluation (doc)
• Guidelines for Final Presentations (doc)

Applications & Recruitment

• Sample Promotional Flier (pdf)
• Student Selection Criteria (doc)
• Student Application Checklist (doc)
• Student Application Form (doc)
• Teacher Recommendation Form (doc)
• Student Application Scoring Rubric (doc)
• Interview Questions (doc)
• Interview Letter (doc)
• No Interview Letter (doc)
• Internship Acceptance Letter (doc)
• ​Internship Declined Letter (doc)

Regulations & Legal

• California Child Labor Laws (doc)
• Consent to Photograph and Videotape (doc)

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