GRANT HIGH SCHOOL

INSTITUTE OF SCIENCE AND MATH (ISM)

INTERNSHIP PACKET

TABLE OF CONTENTS

INTERSHIP GUIDELINES….…………………………………………………………
2

INTERNSHIP PLAN ……..…………………………………………………….…

….... 3

STUDENT REFLECTION …………………………………..………………………

…4

EMPLOYER EVALUATION…………………………………………………….….….
6

INTERNSHIP TIME LOG……………………………………………………….….

….8
 INSTITUTE FOR SCIENCE AND MATH (ISM)
FIELD EXPERIENCE/INTERNSHIP INFORMATION
What is a field experience/internship?

It is the opportunity for you to spend approximately 40 hours or more with one or more
employees at a business, non-profit organization, or government agency. The objective is to
provide you with the opportunity to improve your skills and get first-hand experience in a career
in math and science.

Why is it important?

This will help you consider options for the future and look at opportunities in math and science.
In addition, it will give you experience which you need for college and other post-high school
plans.

When is it?

The length and time of your field experience/internship depends on your schedule and the
employer’s schedule. Some students have chosen to do it one-two days a week, after school and
others have chosen to do it throughout the summer or over one week during the summer. It
must be a minimum of forty hours with the same organization.

How do I sign up?

1. Think about a career involving math, science and/or technology that you might be
interested in pursuing after high school. If you have any questions about whether or
not your experience qualifies, contact the ISM office.

2. Contact the organization and see if they have opportunities for you to do your field
experience/ internship. The ISM office will also provide ideas and opportunities.
However, it will be up to you to contact an organization. If you need assistance
contacting an organization, the ISM office will help you.

3. Complete an Internship Plan and submit it to the ISM office BEFORE beginning your
internship.

How do I get credit for my internship?

After completing your field experience/internship, turn in to the ISM office by May 1, 2009:

1. Internship log
2. Reflection form
3. Supervisor’s report
4. Copy of your thank you note

Important facts to remember about your field experience/internship . . .

1. It needs be done before the end of your junior year.

2. It must be tied in to math, science, or technology (any question ask the ISM office)
3. It must be a minimum of forty hours.
4. You must turn in ALL of the paperwork in order to receive credit.

2
 Institute for Science and Mathematics, Grant High School
2245 NE 36th Avenue, Portland, OR 97212
503.916.5160
For more information contact Traci Osterhagen at tosterha@pps.k12.or.us

INSTITUTE FOR SCIENCE AND MATH (ISM)

INTERSHIP PLAN
Complete this plan and submit it to the ISM office BEFORE you begin your internship. The plan should be
thoughtfully completed to insure your internship will meet the ISM requirements for your Junior year.

Internship must be:

 40 hours minimum;
 within the same organization;
 tied to math, science, and/or technology;
 complete before the end of your Junior year.

If you have questions about the requirements, check with the Traci Osterahgen in the Career Pthaways/ISM
office or at 503.916.5160 or tosterha@pps.k12.or.us PRIOR to beginning your internship.

Student Name: ______Student Number:

Organization: Contact Name: ________

Phone: Email:

Address:

City, State Zip:

You may download this form and type in your responses or answer the questions on an additional paper.

1. Describe the type of work you will be doing during your internship:

2. Describe how the work is connected to math, science, and/or technology:

3. Describe the schedule you will follow to meet your 40-hour requirement

4. What do you hope to learn during the internship?

3
 5. How does this internship match your possible career or post-high school goals?

INSTITUTE FOR SCIENCE AND MATH (ISM)

STUDENT REFLECTION FORM
Student: This is a slight variation of the evaluation form your host will be asked to fill out after your visit. Please
evaluate yourself. Also, don’t forget to fill out the other side!

Student Name: Student Number:

Organization: Contact Name:

Phone: Email: ______

Address:

City, State Zip:

Please respond to the following questions completely, thoughtfully, and neatly on another sheet of paper. You
may also download this form and type in your responses. Please use complete sentences and standard,
English conventions.

1. List the activities you performed during your internship.

2. From what activities or aspects of the internship did you learn the most? Least? Specifically describe what you
learned.

3. What do you think are the three most important abilities, skills, or characteristics you have developed as a result
of your internship?

4. How has this internship influenced your personal, academic, and/or professional goals or direction?

5. What would you have done differently to make the internship experience even more meaningful? Why?

6. Please reflect on your internship with regard to your host or hosts. Were they especially welcoming and
informative? Did they give you a good overview of the job and the organization? Would you recommend this job
shadow experience to another student?

7. How were math, science and technology used in this field?

8. What type of education or training in math, science and/or technology did you need to have?

9. Are you interested in participating in another internship or job shadow? What fields of work would you like to
explore next?
4
10. Do you have any suggestions for improving our internship program?
(Turn Over)

Student Reflection

Completing an Internship provides the opportunity to apply many of the Career-Related Learning Standards (CRLS).
Using the following scale of 1-4, rate yourself in the following areas. Then chose two to expand as a reflection for your
CRLS.

1=Not Applicable 2=Below Expectations 3=Meets Expectations 4=Exceeds Expectations

1. Personal Management – Did you:

Arrive on time? 1 2 3 4
Dress appropriately for the work expected? 1 2 3
4
Identify tasks needing to be done and gone on to complete those tasks? 1 2 3
4
Interact appropriately with others (teachers, community partners, peers)? 1 2 3
4

2. Problem Solving – Did you:

Identify a problem or issue? 1 2 3
4
Use problem solving or decision-making skills to develop solutions? 1 2 3
4 Develop a plan to implement the solution? 1 2
3 4

3. Communication – Did you:

Ask appropriate questions? 1 2 3
4
Listen actively and ask for clarification when necessary? 1 2 3 4
Write clearly and accurately? 1 2 3
4
Give and receive feedback in a positive manner? 1 2 3 4
Read to find information? 1 2 3
4

4. Teamwork – Did you:

Demonstrate respect and flexibility in team situations? 1 2 3
4
Work effectively as a member of a team? 1 2 3 4
Demonstrate skills that improve team effectiveness (e.g. compromise, consensus
building, conflict management, or goal setting)? 1 2 3 4

5. Employment Foundations – Did you:

Demonstrate career investigation skills to choose your Job Shadow? 1 2 3 4
Apply academic knowledge in a career context? 1 2 3 4
Observe different parts of an organization and see how the parts fit together to move
work through the organization? 1 2 3 4
Follow health and safety procedures? 1 2 3
4
Use tools and technology appropriately? 1 2 3 4

5
6. Career Development – Did you:
Ask about the education, training, and work experience needed in this field? 1 2 3 4
Ask how skills developed in school relate to future education, training, and
employment in this field? 1 2 3 4
Demonstrate an interest in this career field? 1 2 3
4

7. Choose two of the CRLS listed above and write a paragraph for each (preferably typed) reflecting on how you
demonstrated skills in each area. For example, you may reflect on how your group was assigned a large task and through
teamwork the group accomplished the goal and about how you learned that the skills you use in a specific course will
apply to that career field.

Please remember your Internship needs to be related to math, science, or technology and be a minimum of 40 hours in length. There are
additional requirements for the internship. Please refer to your Internship Checklist. Please return this form to the ISM office (Room 120) no
later than May 1, 2009. If you have any questions, please Traci Osterahgen at tosterha@pps.k12.or.us.

GRANT HIGH SCHOOL

INSTITUTE OF SCIENCE AND MATH (ISM)
INTERNSHIP EVALUATION of STUDENT
We appreciate your taking time to host a Grant student at your place of work. We would appreciate your
taking a few minutes to share your assessment of the internship experience. Your feedback will be helpful to us as
we set up future job shadow experiences.

HOST’S NAME: TELEPHONE:

TITLE: NAME OF STUDENT:

COMPANY: DATE OF INTERNSHIP:

ADDRESS:

Using the following scale of 1-4, please rate the student in the following areas:

4= Exceeds Expectation 3= Meets Expectation 2= Below Expectation 1= Not applicable

1. Personal Management:
Confirmed appointment. 4 3 2 1
Reported to Job Shadow at appropriate time. 4 3 2 1
Related well to host and others. 4 3 2
1
Was a pleasure to have as a job shadow guest. 4 3 2
1
Arrived dressed and groomed appropriately for the day. 4 3 2 1

2. Communication:
Asked appropriate questions. 4 3 2 1
Listened actively and asked for clarification when necessary. 4 3 2 1

3. Workplace Organization:

6
 Examined how work flows through the organization. 4 3 2
1

4. Career Development:
Asked about the education, training, and work experience needed in 4 3 2 1
this field.
Asked how skills developed in school relate to future education, training 4 3 2 1
and employment in this field.
Demonstrated an interest in this career field. 4 3 2 1

5. Overall Evaluation:
Student seemed to benefit from the experience. 4 3 2 1
I think this was a valuable use of my time. 4 3 2 1

(over)
6. Summary comments: Comment on student performance including any particular strengths, or areas
for improvements.

7. Do you have any suggestions for improving our job shadow program?

8. Are you interested in hosting another student in the future?

7
 Please return to:
Traci Osterhagen
Career Pathways and Institute of Science and Mathematics
Grant High School
2245 NE 36th Avenue
Portland, OR 97212
Fax: 503.916.2695
Email: tosterha@pps.k12.or.us
INSTITUTE FOR SCIENCE AND MATH
INTERNSHIP LOG

Please log the dates and times for your internship. This log must be submitted along with your final
paperwork to receive credit for your hours. Please remember your internship must be a minimum of 40
hours.

Student Name: Student Number:

Organization/Business:

Contact Name: Phone Number:

Email Address:

Date Time In Time Out Total Hours

8
9
Total Hours

10