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This form is used by pharmacy interns in Pennsylvania to report their internship hours under the supervision of a registered preceptor. It includes details such as the intern’s name, email, registration number, and the name and license number of the supervising preceptor. The form also outlines the requirements and regulations surrounding the recording of internship hours, including statement verifications by the preceptor.
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How to fill out intern experience reporting form

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How to fill out intern experience reporting form

01
Gather all relevant information about your internship, including company name, supervisor details, and your role.
02
Open the intern experience reporting form provided by your institution.
03
Fill out your personal information at the top of the form, including your name, student ID, and contact details.
04
Complete the section detailing your internship, including the start and end dates.
05
Describe your responsibilities and tasks during the internship in clear bullet points.
06
Reflect on what you learned, including skills gained and experiences that contributed to your professional development.
07
Obtain your supervisor's endorsement/signature if required by the form.
08
Review the completed form for any missing information or errors.
09
Submit the form by the specified deadline, either electronically or in paper format as instructed.

Who needs intern experience reporting form?

01
Students currently enrolled in educational programs that require internship completion.
02
Internship coordinators or advisors who need to track student progress.
03
Employers who may use the report for feedback and evaluation purposes.
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The intern experience reporting form is a document that interns are required to complete to provide details about their internship experience, including tasks performed, skills acquired, and overall learning outcomes.
Interns participating in internship programs, as well as their supervisors or employers, are typically required to file the intern experience reporting form.
To fill out the intern experience reporting form, provide accurate descriptions of the internship duties, the skills learned during the experience, and relevant dates. Follow the instructions provided in the form carefully.
The purpose of the intern experience reporting form is to document the intern's experiences, assess the effectiveness of the internship program, and ensure that educational objectives are being met.
The information that must be reported includes the intern's name, internship dates, a description of responsibilities, skills acquired, supervisor's feedback, and overall evaluation of the internship experience.
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