ࡱ> UXT  5bjbj~~ =D__ TTTTThhhh$hV)tWL((((((($*-(QT(TT)UUUTT(U(UU%|i'`;y#m&(&)0V)&.@.$i'i'.T}'U((@V).X : Field Supervisor Externship Report Field supervisors should complete and email the completed form to  HYPERLINK "mailto:lawexternships@colorado.edu" lawexternships@colorado.edu.  Name of Extern (student):  FORMTEXT       Sponsoring Agency/Organization:  FORMTEXT       Field Supervisor:  FORMTEXT       Address:  FORMTEXT       Phone:  FORMTEXT       E-mail Address:  FORMTEXT        1. State the average number of hours the extern worked per week.  FORMTEXT       2. State the total number of hours worked during the semester.  FORMTEXT       3. In the gray box provided, please type a written evaluation of the student s performance in your office and submit it to the Experiential Learning Director at  HYPERLINK "mailto:lawexternships@colorado.edu" lawexternships@colorado.edu. Describe the legal work undertaken by the student during his/her placement with your office, subject to the limitations of the attorney-client privilege.  FORMTEXT       4. Please have your extern provide a sample of written work completed (relevant names and sensitive material can be redacted). If the extern absolutely cannot provide a sample of work due to confidentiality reasons, please explain here.  FORMTEXT       5. Please provide a critical evaluation of the students work regarding his/her: Competence: Superior:  FORMCHECKBOX  Commendable:  FORMCHECKBOX  Satisfactory:  FORMCHECKBOX  Fail:  FORMCHECKBOX  Diligence: Superior:  FORMCHECKBOX  Commendable:  FORMCHECKBOX  Satisfactory:  FORMCHECKBOX  Fail:  FORMCHECKBOX  Experience Gained: Superior:  FORMCHECKBOX  Commendable:  FORMCHECKBOX  Satisfactory:  FORMCHECKBOX  Fail:  FORMCHECKBOX  6. 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Why or why not?  FORMTEXT       7. Please conduct an oral review with the student, evaluating the student s performance and work product.  FORMCHECKBOX  8. Would you consider hiring another extern in the future?  FORMTEXT       9. Did you find the Externship Supervisor Manual we sent to you at the beginning of the semester helpful in supervising your externship student? (circle one) Yes or No* *If you selected  No above, please explain why and, if applicable, what we can do to make the Externship Supervisor Manual more helpful:  FORMTEXT       10. Additional comments:  FORMTEXT       Signature By dating and typing my name below, I agree that this serves as my electronic signature. 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