Current Supervisor Questionnaire - Exceptionality in Human Learning

Please enter the name of your organization. Example: Dufferin-Peel Catholic District School Board
Name of the school where the UTM intern student(s) will be completing their internship hours. Example: St. Andrew's S.S.
Street Address for the location where the student(s) will be completing their internship hours.
City for the location where the student(s) will be completing their internship hours.
Postal Code for the location where the student(s) will be completing their internship hours.
If applicable, please provide the name of the particular department that the student will be working in.
Job title or position in the organization.
Job title or position in the organization.
Will the student need a car during their placement? Is the placement location not available by public transit?
Once we have found students that match your needs, would you like to interview the students and choose the successful applicant?
Number of students that you are willing to supervise for the upcoming year
Which day(s) of the week would you prefer the student(s) come to your organization to complete their internship hours. Student will be working with you from September to March for approximately 4 hours per week with scheduled academic breaks.
Please provide any additional comments or thoughts that you may have.