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Run: Intern Supervision Log and Learning Objectives Form

Track weekly internship check-ins, learning objectives, assigned work, and competency growth in one supervisor log. Built for nonprofit internship programs t...

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Log Entry Details

Date of Supervision Session (required)

The date on which this supervision session took place.

Internship Week Number (required)

Enter the sequential week number of the internship (e.g., Week 1, Week 8).

Duration of Supervision Session (hours) (required)

Total time spent in this supervision session, in hours. Used for accrued supervision hour tracking.

Session Format (required)

How was this supervision session conducted?

Cumulative Supervision Hours to Date (required)

Running total of all supervision hours logged since internship start. Include today's session.

Intern and Supervisor Information

Intern Full Name (required)

Intern Email Address (required)

Intern's academic or organizational email address.

Academic Institution (required)

Name of the college, university, or program granting academic credit.

Academic Program / Degree (required)

The intern's current degree program.

Site Supervisor Full Name (required)

Site Supervisor Title / Role (required)

Site Supervisor Email Address (required)

Department or Program Area

The organizational department or program where the intern is placed.

Learning Objectives and Progress

Were the intern's learning objectives reviewed during this session? (required)

Learning Objective 1 — Description (required)

State the first active learning objective from the intern's learning agreement.

Learning Objective 1 — Progress This Week (required)

Learning Objective 2 — Description (if applicable)

Learning Objective 2 — Progress This Week

Complete only if a second learning objective is active.

Learning Objective 3 — Description (if applicable)

Learning Objective 3 — Progress This Week

Complete only if a third learning objective is active.

Supervisor Notes on Objective Progress

Qualitative narrative to support the progress ratings above. Useful for mid-term and final evaluations.

Projects and Tasks Assigned

Primary Project or Task This Week (required)

Task / Activity Categories (select all that apply) (required)

Select all categories that describe the intern's work this week.

Additional Tasks or Activities (optional)

Intern Hours On-Site / Working This Week (required)

Total hours the intern worked at the placement site this week (not supervision hours).

Was a deliverable or work product completed this week? (required)

Describe the Deliverable or Work Product

Briefly describe the output produced. This may be included in the intern's academic portfolio.

Attach Work Product or Supporting Document (optional)

Upload a relevant document, report, or work sample if applicable. Max file size: 10 MB.

Competency Development

Competencies Demonstrated This Week (select all that apply) (required)

Select the professional competencies the intern actively demonstrated or developed during this period.

Overall Competency Development Rating This Week (required)

Rate the intern's overall professional competency demonstration this week. 1 = Needs significant support; 5 = Exceeds expectations.

Notable Strength Observed This Week

Describe a specific, observable strength. Concrete examples are more useful for academic evaluations than general praise.

Growth Area or Development Need Identified

Describe a specific area for growth and any planned support or follow-up action.

Check-In Discussion and Follow-Up

Topics Discussed During Supervision Session (required)

Select all topics covered in today's supervision session.

Did the intern raise any concerns or challenges? (required)

Describe the Concern and Supervisor Response

Note: Do not include confidential client information or third-party PII in this field.

Does this concern require escalation to the academic coordinator or program director?

Action Items and Goals for Next Week (required)

List specific, observable action items agreed upon for the coming week. These will be reviewed at the next supervision session.

Next Scheduled Supervision Date (required)

Date of the next planned supervision session.

Additional Supervisor Notes (optional)

Attestation and Submission

Intern Acknowledgment (required)

The intern confirms the information in this log accurately reflects the supervision session and their work this week.

Yes No N/A

Site Supervisor Attestation (required)

The site supervisor attests that this supervision session occurred as documented and that the information recorded is accurate.

Yes No N/A

Site Supervisor Electronic Signature (required)

Electronic signature of the supervising staff member. This signature satisfies academic program documentation requirements.

Data Use Notice

Information collected in this form is used solely for academic program compliance, internship program administration, and organizational record-keeping. PII is handled in accordance with your organization's privacy policy. This form does not collect client or beneficiary information. Retain a copy of each completed log for your internship portfolio and academic file.

Share this log with the academic field coordinator? (required)

Most academic programs require supervisors to share supervision logs with the assigned field coordinator each week.

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