ILLINOIS VALLEY COMMUNITY COLLEGE

INTERNSHIP EMPLOYMENT HOURS VERIFICATION

(Form to be completed and returned to the program instructor at the end of internship.)

 

 

Studentís name ____________________________________

 

Internship job assignment                 (Job title)  __________________________________________

 

                                                                             _______________________________________

 

                                                                             _______________________________________

 

 

Employer

 

                                            (Company Name)  _________________________________________

 

                                         (Company Address) _________________________________________

 

                                                                           ________________________________________

              

 

Verification of hours student worked:   ________________________________________________

                                                                             (total hours completed)

 

 

 

The above named Illinois Valley Community College student has worked as an intern during

 

the period of _______________, 20________  to _______________, 20________ .

 

 

 

 

 

 

__________________________________________

                        Signed                           Date

 

 

__________________________________________

                         Title