Health and Science Pipeline Initiative
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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.
High School Internship Program Toolkit .zip
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)
Home
FAQ
Registration
HASPI Curriculum
High School
Middle School
Career Exploration
Explore More
HASPI Store
HASPI Educator Conference Materials
Contact Us