UG Interview Form

Interview Form

Department of Recreation, Park and Tourism Administration
Student Name*

First NameLast Name
Agency/Org/Business*
Agency Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Interviewer Name*

First NameLast Name
Interviewer's Position*
Interviewer's Email*
example@example.com
Please check one*

On-site interviewVirtual interviewPhone interviewOther
Date of Interview*

MonthDayYear
Date
Strengths:*
Things to Work On*
Based upon the interview we would offer an internship to the above students.*

YesNo
This is not an official offer, but rather an evaluation of interview skills. If you choose to offer an internship, please contact the student directly.
Thank you for your input.

Department of Recreation, Park and Tourism Administration

Western Illinois University
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