Internship Evaluation Form - Host Department To monitor and evaluate our Innovation Internships scheme we require each intern and host to complete the following report form. Please submit this form within 3 months of the end of the internship. Host Department and Student Details Host Organisation * Department Supervisor's Name * Student's Name * Internship Details Project Title * Objectives: Outcomes and Benefits Please describe the main research outputs that resulted from the internship (max 200 words): Please describe the benefits to the student that resulted from the internship (max 200 words): Innovation Internship Scheme How did you hear about this internship scheme? What was your experience of hosting a London NERC DTP intern, overall? Would you be interested in hosting future internships? Yes I don't know No Declaration Internship Host Supervisor / Organisation Declaration Name * Date * Submit Δ