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GENCY ROLES AND RESPONSIBILITIES 12 APPENDICES 14 A Definitions of Terms 15 B Pre-internship Schedule (sample) 16 C Internship Intent Form 18 D Internship Site Request Form 19 E Internship Placement Agreement 20 F Agency Supervisor Evaluation of Intern 22 G Internship Work Hours Log 26 H Internship Reports 27 I Intern Evaluation of Agency 30 J Intern Evaluation of Agency Supervisor 32 K Intern Evaluation of Departmental Contributions 33 L National Commission.

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