Journal (up to 5 points for each journal submission) Dates Hours Completed Agency contact:: For journal submission, include the following elements: 1. The Long-term objective (refer to Intern-Agency Contract) addressed Audience Behavior Condition Degree of Mastery LAST name From 2. The short-term objective (refer to Intern-Agency Contract) addressed Audience Behavior Condition Degree of Mastery 4. Rate your performance for this reporting period: Unacceptable Acceptable 1. What Strengths did you evidence? 2. What are your Areas for Improvement? 3. Describe in detail the experience, include: a. Activities performed b. Number of clients with whom you interacted and on what basis c. Agency staff with whom you interacted and the circumstances d. Name and describe staff/agency meetings attended e. Any other relevant interaction, etc. To FIRST name _ Journal # Target a. What steps did you (or will you) take to strengthen your knowledge, skills or dispositions? 5. Complete bibliographic entries for all materials (written, electronic, video) referenced in your internship.