HERC Intern Weekly Report

Please provide responses to as many fields as you can. Remember to complete each week!

Name Name * First Last
Please use the FIRST day of the WEEK you are reporting on. Please use the FIRST day of the WEEK you are reporting on. * / MM / DD YYYY
How many hours did you work this week? *
How many hours have you worked TOTAL? *
Presentation:
Presentation - Title
Presentation - Date Presentation - Date / MM / DD YYYY
Presentation - Number of Participants
Presentation - Location
Presentation - Purpose or Requestor

If the resentation was open to anyone on campus to attend, list "open" If the presentation was requested by a profesor, RA, etc., list the affiliation of requestor (RA, Professor, Student, etc.)
If additional presentations were delivered, please provide the following information: PRESENTATION TITLE - DATE - # OF PARTICIPANTS - LOCATION OF PRESENTATION - PURPOSE OR REQUESTOR

List information for each additional presentation.
ONE - ON - ONE HERC RELATED STUDENT CONSULTATIONS
Nutritional Analyses
Tobacco Cessation Consultations
Alcohol Assessments (BASICS, PDP, AUDIT, etc.)
Sexual Health Consultation (HIV Counseling, Risk Reduction counseling, etc.)
Other Student Consultations Otherwise Not Specified
HERC RELATED COMMUNICATIONS
Number of HERC Related Emails Received or Sent (excluding to/from other HERC staff)
Number of HERC Related Phone Calls you Answered (please be sure to continue to enter all info on paper phone logs as calls are received)
Number of HERC Related In-Person Encounters (i.e. students coming to the HERC)
MEETINGS, TRAININGS, CONFERENCES, ETC. ATTENDED THIS WEEK
List any meetings, trainings, or conferences you attended this week.
EDUCATIONAL OUTREACH
List any tabling events, university events, orientation events, etc. where information was dispersed or provided.
**Please provide: EVENT TITLE - APPROXIMATE NUMBER OF ATTENDEES - LENGTH OF TIME YOU WERE THERE.
NARRATIVE FEEDBACK
How many hours did you work this week? *
Please list the projects you worked on this week. Then give the approximate amount of time that was spent on each project. *
What projects are you planning on working on for next week? *
What problems, mistakes, etc. occurred this week, if any?
What concerns or issues are you having?
Do you have anything that needs to be passed on to Eric or Matt?
Tell us at least one thing you have learned, found helpful, or found interesting this past week. *
Upload a Copy of Your Weekly Report Submitted to Your Internship Coordinator (if applicable)
Email *
Name Name First Last

HERC Intern Weekly Report

HERC Intern Weekly Report

Presentation:

ONE - ON - ONE HERC RELATED STUDENT CONSULTATIONS

HERC RELATED COMMUNICATIONS

MEETINGS, TRAININGS, CONFERENCES, ETC. ATTENDED THIS WEEK

EDUCATIONAL OUTREACH

NARRATIVE FEEDBACK