2020 Supervisor Completion Form

Thank you for sponsoring an internship for one of our undergraduate scholars. Please complete the information below and submit by September 14, 2020. Your signature verifies that the scholar completed the required internship hours. You can reach out to scholars@jkcf.org if you have any questions.

Scholar Name:

Organization Name:

Organization Address:

How many hours did the scholar complete during the internship?

Supervisor's Name:

Supervisor's Title:

Supervisor's Phone Number:

Supervisor's Email Address:

Supervisor's Electronic Signature:

Date: