INTERNSHIP MANUAL

MASTER OF PUBLIC HEALTH PROGRAM

INTERNSHIP MANUAL

Version 6.1

Lisa Bandong, MPH

Internship Coordinator

Updated December 22, 2022

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Table of Contents

Introduction .................................................................................................................................................. 4

Purpose ......................................................................................................................................................... 4

Competencies and Learning Objectives .................................................................................................... 4

Learning Objectives ................................................................................................................................... 5

Roles and Responsibilities ............................................................................................................................. 5

Role of the student ................................................................................................................................... 5

International Students: ......................................................................................................................... 6

Students Expectations ........................................................................................................................... 6

Confidentiality and Security of Records: ............................................................................................... 6

Role of the internship site supervisor ....................................................................................................... 6

Role of internship site ............................................................................................................................... 7

Role of the internship coordinator: .......................................................................................................... 8

Policies, Procedures, and Approval Process ................................................................................................. 9

Policies ...................................................................................................................................................... 9

CSUSM Office of Internships ................................................................................................................. 9

International Students .......................................................................................................................... 9

Internship Units ..................................................................................................................................... 9

Selecting an Internship Site................................................................................................................... 9

Internship Credit at Current Place of Employment ............................................................................ 10

Procedures .............................................................................................................................................. 11

Students .............................................................................................................................................. 11

International Students: ....................................................................................................................... 11

Internship Sites and Site Supervisors .................................................................................................. 12

Approval Process ..................................................................................................................................... 12

Internship Learning Contract .............................................................................................................. 12

Public Health Internship Orientation .................................................................................................. 12

How to Register for PH 693 ................................................................................................................. 13

Course Requirements.................................................................................................................................. 13

Evaluation ................................................................................................................................................... 13

Student Evaluation .................................................................................................................................. 13

Site Supervisor Evaluation ...................................................................................................................... 14

Evaluation Procedures ............................................................................................................................ 14

Required forms ........................................................................................................................................... 14

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Internship Site ......................................................................................................................................... 14

Student .................................................................................................................................................... 14

Internship Site Supervisor ....................................................................................................................... 14

Timelines for students ................................................................................................................................ 15

Summer Internship model for Fall Cohort .............................................................................................. 15

Fall Internship model for Spring Cohort ................................................................................................. 16

No Spring Internship ............................................................................................................................... 16

Appendices .................................................................................................................................................. 17

Appendix A – Internship Learning Contract ............................................................................................ 17

Appendix B – Student Evaluation ............................................................................................................ 29

Appendix C – Site Supervisor Evaluation of Student .............................................................................. 36

Appendix D – Sample Outline of Internship Announcement.................................................................. 46

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Introduction

The internship is an essential component of graduate professional education in public health. An

internship ensures the integration of classroom experiences with public health practice. Internships are

cooperative efforts between California State University San Marcos (CSUSM) and various non-profit and

for-profit community partners and governmental agencies to provide MPH students with experiences

that will help them be successful in their career as public health professionals.

This MPH Internship Manual is designed to assist students and site supervisors in planning for and

carrying out internships which fulfill the degree requirements. All students completing an MPH degree

at CSUSM are required to complete a minimum of three units (180 hours) of applied practice experience

(PH 693).

Purpose

The goal of the internship is to further students' practical experience while enhancing the work of public

health. Through the internship, students have the opportunity to demonstrate an integration of

coursework into a real-world setting, preparing them for professional careers in public health.

The primary purpose of the internship is to provide MPH students with an integrative public health

learning experience, where they have the opportunity to apply the skills and knowledge they have

acquired through their coursework to real world experiences. Experiences will vary, but each should

provide most, if not all, of the following opportunities:

• A firsthand experience in the nature of public health work in their area of training;

• Application of classroom knowledge to practical problems in the field;

• Increased competency for a professional career in public health;

• Design and implementation of a project useful to the internship site, and the student;

• Interaction with public health professionals and becoming knowledgeable about their skills and

responsibilities; and,

• Develop and expand a professional network base.

Competencies and Learning Objectives

The Council on Education for Public Health (CEPH) is the governing body and accrediting agency for

public health education in the United States. The CEPH sets the criteria for public health programs,

which is to “achieve excellence in practice, research and service, through collaboration with

organizational and community partners.”

CEPH criteria clearly outlines that, “MPH students must demonstrate competency attainment through

applied practice experiences. The applied practice experiences allow each student to demonstrate

attainment of at least five foundational competencies:

1. Evidence-based Approaches to Public Health;

2. Public Health and Health Care Systems;

CEPH Mission 2016 - http://ceph.org/about/#

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3. Planning and Management to Promote Health;

4. Policy in Public Health;

5. Leadership;

6. Communication;

7. Inter-professional Practice; and

8. Systems Thinking

These competencies are informed by the traditional public health core knowledge areas: biostatistics,

epidemiology, social and behavioral sciences, health services administration, and environmental health

sciences (CEPH, 2016).”

Learning Objectives: After completion of the internship, each student should be able to demonstrate

knowledge, skills and competencies acquired during the internship. Success of the internship experience

should result in students being able to:

• Distinguish what public health is and is not; differentiate public health from personal health care

in theory, ethics and practice, and in terms of legal mandates and funding mechanisms.

• Demonstrate firsthand knowledge of community agencies, organizations, or other workplaces in

which public health interventions and/or health risk assessments are carried out, including their

mission, organizational structure, primary methods used to prevent illness and injury, any

specific populations targeted, and their unique health risks.

• Describe firsthand knowledge and experience with public health services including federal, state

and local public health departments (e.g., Health and Human Services, Homeland Security,

Environmental Protection Agency, Housing and Urban Development, etc.).

• Demonstrate ability to apply principles and methods of the student’s MPH education to a

community, workplace or other public health practice environment. This includes ability to

apply one or more of the many public health intervention/health risk assessment strategies

used to address health determinants at the individual, group, community, or population level.

• Recognize and describe issues of cultural diversity in public health, including health disparities,

risk factors and social determinants of health.

• Development of leadership skills and ability to effectively interact with public health

professionals, leaders and community members from diverse communities.

Roles and Responsibilities

The internship experience should involve active collaboration among the student, internship site,

internship site supervisor, and internship coordinator. These responsibilities are as follows:

Role of the student: Students are the primary beneficiaries of internship training and their role must

be as active as those of the internship coordinator and internship site supervisor.

• Conduct themselves as responsible and mature professionals during the internship, complying

with the organization’s code of conduct, and meeting all obligations and responsibilities

according to schedule.

• Develop an understanding of the internship site’s philosophy, policies, standards, and

procedures with regard to the internship experience.

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• Notify the internship coordinator that they are preparing for their internship (filling out

Internship Interest Form) and seek advice regarding an area of career interest to develop during

the internship, discuss possible placement sites, and develop an appropriate scope of work plan.

• Maintain active communication with the internship coordinator for guidance and monitoring of

internship activities.

• Provide all appropriate documents to the internship coordinator as outlined in the ‘Procedures’

section of this manual.

International Students: International students must follow additional employment procedures set

forth by the Office of Global Programs and Services.

https://www.csusm.edu/global/intstudents/employmentf1/index.html

Students Expectations: Students must be mindful of the fact that their supervisors are working

professionals taking the time and effort to mentor a student. At all times, students should remain

grateful and respectful to their supervisors.

• Be punctual and prepared for all internship duties

• Observing the site’s policies

• Adhering to appropriate dress code guidelines

• Demonstrating a commitment to learning by seeking new ideas, trying out new methods and

completing all assignments

• Seeking feedback, accepting constructive criticism and implementing suggestions

• Demonstrating self-advocacy by asking questions, seeking clarification and addressing concerns

in a timely manner

• Placing professional duties above person convenience

In representing CSUSM and the Master’s of Public Health Program, students will be held to the highest

personal and professional standards:

• Respect for confidentiality at all times

• Respect for cultural diversity, needs and preferences

• Prohibited or severely limited use of personal cell phones and email during internship hours

• Prohibited mention of experience on social networking forums

• Adherence to strict personal ethics, including refraining from gossip, emotional displays and

sharing of students’ own personal situations

• Compliance CSUSM’s policy on equitable treatment

If a student is dismissed from an internship site, the internship coordinator and program chair will meet

with the student to discuss the concerns of the internship supervisor/site, to determine next steps.

Confidentiality and Security of Records:

Graduate interns will comply with HIPAA and FERPA regulations for internship placements and academic

instruction, maintain privacy and confidentiality at all times.

Role of the internship site supervisor: Internship site supervisors are key participants in the

internship experience. They oversee all activities and experiences of the student while at the internship

site. The quality of their commitment, interest, and efforts has tremendous influence on the outcome of

the experience.

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Internship site supervisors should ensure a meaningful learning experience for the student with the

commitment, and enthusiasm of a good teacher. The internship site supervisor is also a responsible

official in the organization who ensures that students fully comply with its policies and standards.

The internship site supervisor must have at minimum a degree in public health or related field. Ideally,

internship site supervisors would have a master’s degree or higher. A CSUSM faculty member can serve

as a co-supervisor if the internship site does not have a supervisor with a minimum degree in public

health or related field. A CSUSM faculty member can serve as an internship site supervisor if the

student’s internship has been approved by the internship coordinator. This person should have

expertise in assigned project areas, experience, and the ability and desire to supervise and mentor.

Please note that students cannot be supervised by fellow MPH students.

Internship site supervisors should:

• Develop an understanding of CSUSM’s MPH program’s philosophy, policies, standards, and

procedures pertaining to internship experience.

• Actively participate in the preparation of the student’s job description (i.e. Internship Learning

Contract) and internship activities.

• Make the student feel welcome in the agency, facilitate the student’s workplace orientation,

assign appropriate tasks, and provide suitable and regular time for supervisory discussion with

the student.

• Certify completion of internship by the student and return an evaluation of the student’s

performance, to the internship coordinator.

• Take a proactive stance in all matters pertaining to the experience, including providing the

internship coordinator with up-to-date information on their agency for inclusion in the

internship experience, resource files, and facilitating possible long-term practical training

arrangements at the internship site.

• Submit a CSUSM Internship Site Supervisor Evaluation of the Student by the end of the

internship. An evaluation link will be emailed to the site supervisor at least two weeks prior to

the end of the internship as indicated on the approved Internship Learning Contract.

Role of internship site: This is the agency/organization where the internship will be completed.

Internship sites should:

• Design an internship position that meets the need of the agency and is related to public health

• Assign an appropriate professional management-level staff member from within the agency to

be the internship site supervisor that provide training and consistent guidance to the student.

Supervisor must have at minimum an undergraduate degree in public health or related field,

master’s degree preferred.

• Follow the guidelines set forth in the Community Provider Internship Handbook

by CSUSM’s

Internships

• Have a CSUSM University Community Partnership Agreement on file with the University

Internships – https://www.csusm.edu/careers/internships/community_industry/index.html

• Upload Internship Opportunity to Office of Internships database, AND provide a copy to the

Public Health Internship Coordinator

• Ensure the internship position consists of professionally related work assignments and tasks

• Ensure a safe and appropriate learning environment

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• Permit, as needed, a CSUSM faculty/staff member to conduct site visit(s)

• Provide a workplace orientation to the student including safety and emergency procedures

• Allow the intern to meet with their supervisors and receive feedback on their activities on a

regular basis

• Verify internship hours are completed

• Verify internship not current job

• Undertake the responsibility of the agency’ hiring process of the student including necessary

background checks

• CSUSM internship sites (department) that require work at other agencies must consult with the

Office of Internships and the Procurement Office to insure that their department has the

appropriate Memos of Understanding (MOU) set in place.

Role of the internship coordinator: The internship coordinator maintains an active list of available

and qualified internship sites for MPH students. They provide guidance to students in identifying

appropriate placement sites through notices sent out via the MPH Central and the CSUSM’s Office of

Internships database, and postings of internship opportunities on the MPH internship website. One of

the most important functions of the coordinator is to assure that internship experiences are valuable

learning opportunities for students and that the internship sites chosen are appropriate.

The internship coordinator must approve each student’s internship experience. Students should meet

with the internship coordinator regarding internship requirements and opportunities as early as their

first semester to discuss areas of interest and potential sites. The internship coordinator can help

provide information as to the types of possible worksites, tasks and responsibilities to consider and

whether a particular internship would fulfill the core objectives of the student’s particular

concentration. Based on the student’s interests, the internship coordinator may suggest that the

student meet with other MPH faculty with expertise in the student’s area of interest. The internship

coordinator will make final approval of the internship site.

The internship coordinator is responsible for reviewing and approving completed internship learning

contract, grading assignments, maintaining records and assigning final internship grades. They may also:

• Address any needs regarding agreements with internship sites

• Monitor internship activities to ensure high standards

• Intervene when appropriate in situations that may arise during the internship

• Arrange for appropriate activities for students and internship site supervisors to ensure high-

quality practice training, possibly to include a professional development conference

• Undertake appropriate developmental activities to expand opportunities for high-quality

placements

• Assure the maintenance of an appropriate database of past internships as a resource for

students in the department

• Actively cultivating internships opportunities, and onboard new internship sites within the

region, state, country, and internationally

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Policies, Procedures, and Approval Process

Policies

CSUSM Office of Internships

The student, site supervisor, internship site, and internship coordinator must all follow university

guidelines set forth by the CSUSM Office of Internships:

• For Students: https://www.csusm.edu/careers/internships/students/index.html

• For Internship Sites and Site Supervisors:

https://www.csusm.edu/careers/internships/community_industry/index.html

• For Internship Coordinator/Faculty:

https://www.csusm.edu/careers/internships/forfaculty/index.html

The following labor practices for internships must be followed and are listed for quick reference:

• Fair Labor Standards Act:

https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/whdfs71.pdf

• CSU Executive Order #1064:

https://www.csusm.edu/careers/internships/documents/eo1064.pdf

International Students

International students must follow additional employment procedures set forth by the Office of Global

Programs and Services. https://www.csusm.edu/global/intstudents/employmentf1/cpt.html

Internship Units

Practical application of principles related to Public Health in a supervised 180-hour internship

experience approved by the Public Health Internship Coordinator. Internship units are earned by

enrolling in three (3) units of PH 693 (Internships), and satisfactorily completing the internship and

required assignments set forth in the PH 693 syllabus. May be repeated once for credit. Prerequisites

are completion of all Year 1 required courses (PH 501, 502, 503, 504, 505, 506, and 507).

Selecting an Internship Site

Planning and preparation for enrolling in PH 693 begins in the semester prior to enrolling/beginning the

internship. Students are asked to fill out an Internship Interest Form that is emailed to them during their

first semester of the program.

Prior to deciding on the internship placement, CSUSM Public Health recommends a self-assessment of

skills, personality traits, interests, goals and preferences for work settings (office, lab, field, etc.). Please

contact CSUSM Career Center to schedule an appointment for individualized guidance. CSUSM Career

Center offers career assessment tools that you may find helpful.

There are several other resources to help a student identify an internship site:

• Review the CSUSM Public Health MPH Central for a list of current/past sites

• Consult with the Internship Coordinator or faculty advisor

• CSUSM Public Health list-serve (i.e. MPH Central) – opportunity announcements will be sent by

the Internship Coordinator

• CSUSM Office of Internships database

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• Students are also encouraged to participate in CSUSM Public Health/CSUSM sponsored

activities. In addition, consider attending networking functions including community events,

conferences, professional mixers and other activities that increase networking skills and produce

internship/career opportunities. Opportunities for these events will be sent through the CSUSM

Public Health list-serve and can lead to successful internships.

It is the responsibility of the student to initiate contact with a proposed internship site(s). Students

should approach potential sites as if they were future employers, and submit a cover letter and resume

to the contact provided. The resume should include relevant experience, related coursework and

applicable skills. For assistance with cover letter/resume development and interviewing skills contact

CSUSM Career Center.

A quality internship experience is dependent on how prepared a student is. Therefore, careful attention

and sufficient time should be invested in selecting the right site. When choosing an internship site, the

student should ask themselves a number of questions:

• Does the agency/project qualify as an appropriate CSUSM Public Health internship?

• Are the duties/responsibilities appropriate and relevant to my concentration and skills?

• Will I be able to apply what I am/have been learning in my academic program?

• Will I learn a new skill(s) that I have wanted to learn?

• Is the work setting/environment a good fit with my personality?

• Will I have the opportunity to participate in trainings, conferences or other professional

development events?

• Does the Internship Site Supervisor have sufficient time and interest in being a mentor or a

supervisor?

• Is there a potential thesis/capstone project opportunity?

Background checks | Allow time for hiring process: students interested in government agencies,

agencies with vulnerable populations, etc. may be require to complete an extensive background check,

which can add 6-8 weeks to your hiring timeline. Be sure to add that time to your timeline. This process

may delay your start date!

Internship Credit at Current Place of Employment

If a student currently works in a public health environment, the Internship Coordinator can approve

internship units at the worksite if demonstrated that the experience is not part of current assigned

work-related duties. It is the responsibility of the student to negotiate a reassignment of work tasks and

provide thorough documentation and evidence that this concern has been satisfied. Students can

petition for this option by checking the Current Place of Employment box at the front of the Internship

Learning Contract and submitting a copy of their current job description along with the Internship

Learning Contract to the Internship Coordinator.

Per University Policy: https://csusm.policystat.com/policy/7987555/latest

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Procedures

Students

1. Complete Online Public Health Internship Orientation – online link emailed by Internship

Coordinator. Forward completion email to the Public Health Internship Coordinator.

2. Identify an internship site(s) (See Selecting an Internship Site). Students must adhere to the

agency hiring process – this may delay anticipated start dates.

3. Consult with Internship Coordinator if site has a University Community Partnership Agreement

on file. If no, then the Internship Coordinator will work with potential internship site to obtain

one. Please note: all internship sites must have a University Community Partnership Agreement

on file, as of May 2022 (no waivers are accepted).

4. Draft the Internship Learning Contract with Internship Site Supervisor and submit to Public

Health Internship Coordinator via EMAIL and COPY the site supervisor according to the

deadlines set forth by the Internship Coordinator. The Public Health Internship Coordinator may

ask for edits before approving (usually allow 7-10 business days).

5. Submit approved Internship Learning Contract by EMAIL to the CSUSM Public Health Internship

Coordinator as early as two months prior to a planned internship, but no less than one week

prior to the last add/drop day of the semester. Approvals usually take 7-10 business days. This

contract will be part of the final course assignment.

6. Obtain a permission number from Public Health Internship Coordinator and register for PH 693.

A permission number will only be issued once an Internship Learning Contract has been

approved; the online Public Health Internship Orientation has been completed; and the

Internship Site as a University Community Partnership Agreement Form.

7. Submit Student Placement through CSUSM Office of Internships, once Internship Site has a

University Community Partnership Agreement on file. Student Placement Form Instructions:

https://www.csusm.edu/careers/internships/students/credit-

internship/academic_internship_placement_tutorial_12-13_2021.pdf

8. Complete 180 hours of internship experience at the internship site and must submit a timesheet

as part of the final course assignment. The site is tied to the course and any changes to the site

requires Internship Coordinator pre-approval. Unauthorized changes could result in failing

grade. See Finishing an Internship Late below.

9. Submit all internship course assignments as indicated on the syllabus, including evaluations (see

Evaluations). The Internship Coordinator will email the online evaluation form to the Student

and Site Supervisor separately two weeks before the end of the internship as indicated on the

Internship Learning Contract.

International Students: International students must follow employment procedures set forth by the

Office of Global Programs and Services.

https://www.csusm.edu/global/intstudents/employmentf1/cpt.html

Starting an Internship Early: Students can start an internship before the semester in which they are

requesting credit as soon as registration begins for that semester. Please consult with the Public Health

Internship Coordinator for that date. All student procedures listed above must still be met. Please note,

university policy does not allow students to bank hours.

Finishing an Internship Late: Students can request more time beyond the end of the semester to

complete their internship hours. They must consult with the Public Health Internship Coordinator to

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start this process. Students must take an Incomplete (I) grade by filling out a Masters of Public Health

Incomplete Contract with a new end date. The Public Health Internship Coordinator will approve the

contract once it is filled out. Once the internship and assignments are complete, then an updated

contract will be sent to the student from the Public Health Internship Coordinator with the

corresponding grade. Failure to fulfill an incomplete grade within a calendar year will result in an IC

grade (F grade equivalent). See the University Catalog for full description of the Incomplete Grade:

http://catalog.csusm.edu/content.php?catoid=3&navoid=279#grading-system-and-policies

Internship Sites and Site Supervisors

1. Submit a University Community Partnership Agreement through Office of Internships. Link to

Request to Initiate Partnership; Review Resource Guide prior to filling out the form.

2. Submit Internship Opportunity Announcement to the Public Health Internship Coordinator to be

posted in MPH Central.

a. Internship Opportunity must comply with the

Department of Labor’s guidance on

Internship Programs and Fair Labor Standards Act. Public Health Internship Coordinator

is available for consultation, and can assist Internship Sites with creating the Internship

Opportunity Announcement specific for MPH graduate students. (See Appendix D –

Internship Opportunity Outline)

3. Conduct interview(s) for internship and select student. The Internship Site is responsible for

hiring requirements set forth by their agency policies including background checks.

4. Draft the Internship Learning Contract with student. Revise as necessary until final approval

received.

5. Use Internship Learning Contract as the internship job description.

6. Submit Internship Opportunity Announcement through Office of Internships and submit a copy

to the Public Health Internship Coordinator. Please indicated whether opportunity is for MPH

graduate students only under qualifications section of the form.

7. Keep record of student’s internship hours with a timesheet. Student will need to submit the

approved timesheet as part of their final assignment.

8. Submit online evaluation of student at the end of the internship (See Appendix C). The

Internship Coordinator will email the online evaluation form to the Site Supervisor.

Approval Process

Internship Learning Contract

Students and Internship Site Supervisors must follow the guidelines set forth in the Internship Learning

Contract. This includes creating a Scope of Work with at least (3) goals each containing (2) objectives,

and the MPH Competency Checklist. Once a draft Internship Learning Contract is created, submit the

contract to the Internship Coordinator. The Internship Coordinator will provide approval or request

resubmission with revisions. Once the Internship Coordinator approves the final Internship Learning

Contract, the student will be provided an electronic copy with the Internship Coordinator’s approval and

date. Students must have an approved Internship Learning Contract on file before they can register for

the class. The final approved Internship Learning Contract must be submitted in the student’s Final

Portfolio as part of the syllabus requirements in Cougar Courses.

Public Health Internship Orientation

Students must complete the Public Health Internship Orientation prior to obtaining a permission

number for registration. The orientation is available online to students through online link emailed by

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Internship Coordinator. Once completed, the students will receive a completion email, and it must be

forwarded to the Public Health Internship Coordinator.

How to Register for PH 693

Students need to officially register for the PH 693 course through myCSUSM using a CRN number and

permission code. These codes will be given to the student by the Internship Coordinator after following

paperwork has been submitted: Internship Site has an University Affiliation Agreement on file with the

Office of Internships (See Role of Internship Site); received the Public Health Internship Orientation

Completion email (See Public Health Internship Orientation); and an approved Internship Learning

Contract has been submitted to the Public Health Internship Coordinator (See Internship Learning

Contract).

Course Requirements

PH 693 is a graded or report in progress (RP) course. It may be repeated once for credit. Enrollment

restricted to Public Health graduate students. Prerequisites are completion of all Year 1 required courses

(PH 501, 502, 503, 504, 505, 506, and 507).

The student will have several course requirements per the faculty syllabus including:

• Literature Review

• Internship Experience Reflection

• Final Portfolio: Internship Learning Contract with approval, Timesheet, Literature Review,

Internship Experience Reflection, Student Evaluation of Internship, Site Supervisor Evaluation of

Student, and examples of Internships activities/products.

Evaluation

Evaluation of the internship experience by both the student and the internship site supervisor are crucial

components of the internship. These evaluations enable a student to reflect upon their work and also

assist the Internship Coordinator to provide quality placement sites for future students. The CSUSM

Public Health department is dedicated to ensuring that internship experiences are beneficial for the

student, the faculty, and the internship site. In order to demonstrate that this program is effective at

providing valuable experiences for all parties, the CSUSM Public Health department requires that all

students and Internship Site Supervisors participate in evaluation activities. The student’s final grade is

based on satisfactory completion of all internship requirements set forth in the course syllabus and the

submission of online evaluations by both the student and the Internship Site Supervisor. These

evaluations are reviewed by the Internship Coordinator to provide the student with credit for the

experience.

Student Evaluation

The purpose of the student’s evaluation of their field placement experience is three-fold:

• To assess whether the student met their learning goals and objectives identified in the

Internship Learning Contract.

• To assess the satisfaction/usefulness of the internship experience in complimenting CSUSM

Public Health coursework.

• To determine whether the experience contributes to an integrative experience.

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Site Supervisor Evaluation

The purpose of the field supervisor’s evaluation is two-fold:

• To assess whether the student met their learning goals and objectives identified in the

Internship Learning Contract.

• To assess their satisfaction with the student’s knowledge, skills, education, performance,

attitude, progress and overall experience.

Evaluation Procedures

To receive credit for the internship, both the student and the Internship Site Supervisor must complete

online evaluations that will be emailed to them. An example can be found in the Appendix Section of

this Internship Manual. The Internship Coordinator will send the link to these online evaluations by two

weeks prior to the end of the semester term. Please communicate with your Internship Site Supervisor

to make sure their evaluation is completed within two weeks of the completion of the internship or one

week before finals so that it will be available for the Internship Coordinator to give you credit for your

internship.

Required forms

Internship Site

Request to Initiate Partnership https://app.calstates4.com/csusm/request-initiate-partnership-

academic-internships-and-service-learning-2021

Resource Guide to Request to Initiate Partnership

https://www.csusm.edu/careers/internships/community_industry/rtip_resource_guide_2022.pdf

Student

Internship Interest Form – online link emailed by Internship Coordinator during student’s first semester

Certificate of Completion of Public Health Internship Orientation – online link emailed by Internship

Coordinator Internship Learning Contract – located in MPH Central (see Appendix A)

Student Evaluation – online link emailed by Internship Coordinator (see Appendix B)

International Students – https://www.csusm.edu/global/intstudents/employmentf1/cpt.html

Internship Site Supervisor

Internship Opportunity Announcement – Outline available (Appendix D)

Internship Learning Contract (see Appendix A)

Internship Site Supervisor Evaluation (online link emailed by Internship Coordinator, see Appendix C)

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Timelines for students

A successful internship experience requires significant planning. Timelines can differ depending on the

intended semester to begin the internship. The following timelines describe the necessary activities for

internships based upon the cohort models that begin in the summer and spring. Dates are approximate,

and specific dates and deadlines will be determined each year.

Summer Internship model for Fall Cohort

Early start available in mid-May for Fall cohort. Students who fall outside of the cohort model may be able to

start as early as April 1 with the completion of core courses.

Extensions beyond the semester are available.

SEMESTER

MONTH

ACTION

First Semester in

MPH

Any time

Consult with Internship Coordinator

August - September

Update Resume – consult Internship Coordinator

and/or Career Center

September – December

Complete Internship Inquiry Form – students to fill out

form (email link sent by Internship Coordinator)

September – January

Familiarize with MPH Internship Manual – available in

MPH Central

September – January

Complete Public Health Internship Orientation – email

link sent by Internship Coordinator

December – April

Seek Out internship opportunities (See Selecting an

Internship Site) – Listings available in MPH Central

Second Semester

in MPH

Any time

Consult with Internship Coordinator

January - April

Apply for internship opportunities (See Selecting an

Internship Site) – allow time for background checks

March – May

Select Internship Site – allow time for background

checks

March – May

Develop Internship Learning Contract

April – June

Submit Learning Contract – see approval process

May – June

Submit Student Placement form – Office of Internships

Third Semester

in MPH

June

Start Internship – follow syllabus requirements

(semester in 10 weeks)

Any time

Consult with Internship Coordinator

August

Finish Internship – submit final portfolio per syllabus

requirements

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 16

Fall Internship model for Spring Cohort

No Spring Internship

A spring internship falls outside of the cohort model and may or may not be available depending on

enrollment numbers. Check with the Internship Coordinator.

Early start available in mid-August depending on completion of core courses - as well as for students who fall

outside of the cohort model with the completion of core courses.

Extensions beyond the semester are available.

SEMESTER

MONTH

ACTION

First Semester in

MPH

Any time

Consult with Internship Coordinator

January – February

Update Resume – consult Internship Coordinator

and/or Career Center

February – April

Complete Internship Inquiry Form – students to fill out

form (email link sent by Internship Coordinator)

February – May

Familiarize with MPH Internship Manual – available in

MPH Central

April – May

Complete Public Health Internship Orientation – email

link sent by Internship Coordinator

April – July

Seek Out internship opportunities (See Selecting an

Internship Site) – Listings available in MPH Central

Second Semester

in MPH

Any time

Consult with Internship Coordinator

April – July

Apply for internship opportunities (See Selecting an

Internship Site) – allow time for background checks

May – August

Select Internship Site – allow time for background

checks

June – August

Develop Internship Learning Contract

June – August

Submit Learning Contract – see approval process

August

Submit Student Placement form – Office of Internships

Third Semester

in MPH

August

Start Internship – follow syllabus requirements

(semester in 16 weeks)

Any time

Consult with Internship Coordinator

December

Finish Internship – submit final portfolio per syllabus

requirements

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 17

Appendices

Appendix A – Internship Learning Contract

CSUSM PUBLIC HEALTH

INTERNSHIP LEARNING CONTRACT

STUDENT NAME: __________________________________________________________________________

AGENCY AND DEPARTMENT/DIVISION: ______________________________________________________

SITE SUPERVISOR NAME: __________________________________________________________________

DATES OF PLACEMENT: ___________________________________________________________________

Submit this sheet signed by both the student and the site supervisor, and include:

 SCOPE OF WORK pg.7

Must be completed by the student with guidance from internship supervisor: use the following documents,

create a Scope of Work to detail the project(s) to be completed during the internship.

•

Submit: Scope of Work Template pg. 7

• Instructions for Creating Scope of Work

• Tips for Writing Goals and Objectives

• Useful Verbs for Writing Goals and

Objectives

• Sample Scope of Work

• Internship Learning Contract Submission

Checklist

 COMPETENCY CHECKLIST pgs.8-9

Use the provided MPH Competency Checklist

• Indicate THREE Public Health Foundational competencies which are to address or enhance the internship

training experience.

• In

dicate TWO Track Specific competencies which are to address or enhance the internship training

experience.

 CURRENT PLACE OF EMPLOYMENT, if applicable

If the internship is at the current place of employment, then check this box and include a copy of the current

job description.

(See “Internship Credit at Current Place of Employment” in the Public Health Internship Manual for

procedures)

 Internship Learning Contract Submission Checklist

I have participated in development of the internship proposal and agree to the conditions specified. If it becomes necessary to

alter any of the specified conditions, I agree to make the changes known to each of the persons whose signatures appear

below. I understand this work is tied to the program’s accredited course, and any changes to the internship site are not feasible

without pre-approval by the Internship Coordinator.

STUDENT SIGNATURE DATE

INTERNSHIP SITE SUPERVISOR SIGNATURE DATE

PUBLIC HEALTH INTERNSHIP COORDINATOR APPROVAL DATE

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 18

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

INSTRUCTIONS FOR CREATING SCOPE OF WORK

Timeline:

• Meet with the internship site supervisor to discuss tasks

• Compose a draft Scope of Work based upon discussion with internship site supervisor

• Scope of Work must follow the format in the Sample Scope of Work

• Submit the draft Scope of Work to the Internship Coordinator via email.

• Revise Scope of Work based upon recommendations (if needed)

• Internship Coordinator must approve Scope of Work

• Submit a signed Internship Contract, MPH Competency Checklist and Scope of Work as ONE document

to via email to Public Health Internship Coordinator ([email protected])

Required Elements:

• Goals: Develop a broad statement describing what you wish to achieve. List at least 3 goals.

• Objectives: Break down the goals into smaller parts that provide specific, measurable actions by which

the goal can be accomplished. List at least 2 objectives for each goal.

• Activities: Detail specific activities you will undertake for each objective

• Start-End Date: Estimate the time to complete each activity

• Responsible Parties: If applicable, list names of others who may be assisting you with the completion of

each activity

• Tracking Measures (Evaluation): Determine how you will evaluate your progress. By what means will

you demonstrate that an activity has been completed?

Important Notes:

• A sample Scope of Work can be viewed below and can also be downloaded from the MPH Central

• A tip sheet title How to Write Goals and Objectives can also be found below or on the MPH Central

• Important: Should it be necessary to modify the Scope of Work during the internship, please submit a

revised copy, noting relevant changes, to the Internship Coordinator.

Technical Support:

• CSUSM Help Desk offers all students access to software including Adobe Acrobat DC which will allow you

to edit this form with ease. The link to software support can be found in MPH Central > Internships

• There is a “How To” video on how to tackle competencies for the Scope of Work. This can be found in

MPH Central > Internships.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 19

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

TIPS FOR WRITING GOALS AND OBJECTIVES

Although many different courses will cover in depth writing goals and objectives for health promotion programs,

grants, and organizations, we have compiled a few tips to help write your goals and objectives early in your

career.

What are Goals and Objectives?

A goal is an overarching principle that guides decision making. Objectives are specific, measurable steps that can

be taken to meet the goal. A common way of describing goals and objectives is to say that:

• Goals are broad Objectives are narrow

• Goals are general intentions Objectives are precise

• Goals are intangible Objectives are tangible

• Goals are abstract Objectives are concrete

• Goals are generally difficult to measure Objectives are measurable

Example

• Goal:

o Develop an increased understanding of careers in health education by the end of the Fall 2006

semester

• Objectives:

o Find five job descriptions for health education related jobs by the beginning of December

o Interview two current health education professionals by the end of November

o Identify three organizations that employ health educators by the end of September

These are not the only definitions of goals and objectives. Goals and objectives are used in different ways for

different purposes and several of your classes will offer you greater insight into using goals and objectives.

Throughout your master program, you will come to appreciate the importance of measurable goals. Measurable

goals and objectives are essential for evaluating progress. Your personal goals are no different.

SMART

A useful way of making goals and objectives more powerful and measurable is to use the SMART mnemonic.

While there are plenty of variants, SMART usually stands for:

S – Specific

M – Measurable

A – Attainable

R – Relevant

T – Time-bound

For example, instead of saying “I will talk to people about health education” say “I will interview three current

health educators including questions about their position and career development by December 1, 2016”.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 20

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

USEFUL VERBS FOR WRITING GOALS AND OBJECTIVES

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Define

Identify

List

Name

Recall

Recognize

Record

Relate

Repeat

Underline

Choose

Cite examples of

Demonstrate use of

Describe

Determine

Differentiate

between

Discriminate

Discuss

Explain

Express

Give in own words

Identify

Interpret

Locate

Pick

Report

Restate

Review

Recognize

Select

Tell

Translate

Respond

Practice

Simulates

Apply

Demonstrate

Dramatize

Employ

Generalize

Illustrate

Interpret

Operate

Operationalize

Practice

Relate

Schedule

Shop

Use

Utilize

Initiate

analyze

Appraise

Calculate

Categorize

Compare

Conclude

Contrast

Correlate

Criticize

Deduce

Debate

Detect

Determine

Develop

Diagram

Differentiate

Distinguish

Draw conclusions

Estimate

Evaluate

Examine

Experiment

Identify

Infer

Inspect

Inventory

Predict

Question

Relate

Solve

Test

Diagnose

Arrange

Assemble

Collect

Compose

Construct

Create

Design

Develop

Formulate

Manage

Modify

Organize

Plan

Prepare

Produce

Propose

Predict

Reconstruct

Set-up

Synthesize

Systematize

Devise

Appraise

Assess

Choose

Compare

Critique

Estimate

Evaluate

Judge

Measure

Rate

Revise

Score

Select

Validate

Value

Test

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 21

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

SAMPLE SCOPE OF WORK

GOAL 1: To develop a broad based outreach program about breast and cervical cancer re-screening for underserved minority women in

San Diego by the end of summer 2012.

MPH Competencies: Public Health Foundational Competencies #4

and #6; HP Competencies #3

Objectives

Activities

Start/End Date

Person Responsible

Tracking Measure

1. Research guidelines

and state requirements

for the design of the

broad based materials by

the end of May.

a. Review all CDS

program letters and scope

of work guidelines for

broad based materials.

b. Review previous SOW

for last period’s broad

based plan.

c. Research possible

outreach materials within

budget.

d. Create templates that

fit within the state

guidelines and PFP’s

internal objectives.

5.18.17 – 5.27.17

Intern

a. Checklist of

requirements.

b. Lists of possible

materials and costs

2. Meet with

representatives from the

targeted groups to design

and finalize materials by

mid-June.

a. Create contact at

community based

organizations that serve

the priority population.

b. Set up meetings with

representatives to

brainstorm material ideas

and content that would

be appropriate for the

specific groups.

c. Meet with ethnic task

forces to discuss and

finalize the material

templates.

5.31.17 – 6.15.17

Intern, Health Education

Coordinator, Task Force

Members

a. Draft of potential

materials

b. Meeting notes from

individual CBO meetings

c. Meeting minutes from

ethnic task force

meetings

3. Submit broad based

outreach plan by July 1 to

the state for approval.

a. Finalize materials for

each priority group.

b. Finalize evaluation

methods for the broad

based outreach plan.

c. Submit draft of plan to

preceptor for edits and

feedback.

d. Submit final plan to the

CDP:EWC program for

approval.

6.27.17 – 6.30.17

Intern, Health Education

Coordinator

a. Draft of submission

b. Feedback sheet from

preceptor

c. Plan submitted and

accepted by deadline

4. Create and obtain

broad based outreach

materials by early August.

a. Finalize design of the

materials.

b. Obtain proofs from

printers.

c. Obtain approval from

CDP:EWC for purchase

d. Have materials in hand

ready for distribution.

7.1.17 – 8.3.17

Intern, Health Education

Coordinator

a. Cost estimates

b. Design proofs

c. Materials ready for

distribution

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 22

GOAL 2: To conduct a community analysis on demographic and health statistics for those residing in Los Angeles County by the end of

the summer semester.

MPH Competencies: Public Health Foundational Competencies #1; HP Competency #1

Objectives

Activities

Start/End Date

Person Responsible

Tracking Measure

1. Conduct a literature

review on demographic,

breast and cervical

cancer, and healthy

lifestyle statistics for

a. Use electronic search

engines to obtain data

sources

b. Retrieve and review

reports.

c. Summarize county and

SPA data in tables.

6.2.17 – 7.1.17

Intern

a. Tables summarizing

data

b. Lists of references

GOAL 3: To update and finalize a grant proposal template to secure funding for the Ethnic Task Forces at PFP by mid-June 2012

MPH Competencies: Public Health Foundational Competencies #1; HP Competency #1

Objectives

Activities

Start/End Date

Person Responsible

Tracking Measure

1. Update RFA template

by June 10

th.

a. Review current

template and past grant

submissions.

b. Review current cancer

statistics and incorporate

into template.

c. Update narratives on

current task force work

and goals.

d. Update information

about PFP’s work, mission

and objectives.

5.25.17 – 6.10.17

Intern, Health Education

Coordinator

a. Draft of RFA template

b. Feedback from health

education coordinator

2. Create a component to

add a new task force for

the LGBTQ community by

June 10

th.

a. Review current cancer

statistics for the LGBTQ

community.

b. Identify a need within

that community for

cancer prevention

education and resources.

c. Create a narrative

about a LGBTQ task

force.

6.6.17 – 6.10.17

Intern, Health Education

Coordinator

a. Draft of RFA template

b. Feedback from health

education coordinator

GOAL 4: To conduct one or two tailored education classes on breast and cervical health and cancer prevention.

MPH Competencies: HP Competency #5

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 23

Objectives

Activities

Start/End Date

Person Responsible

Tracking Measure

1. Prepare for tailored

education class on breast

and/or cervical health by

July.

a. Review current

literature on breast and

cervical cancer.

b. Review current PFP

education materials on

breast and cervical

cancer.

c. Attend 2-4 classes on

breast and cervical

cancer.

6.1.17 – 7.1.17

Intern, Health Education

Coordinator

a. Notes on breast and

cervical cancer

b. Sign-in sheets from

classes attended.

2. Conduct a tailored

education class on breast

and/or cervical health

during the month of July.

a. Present a class on

breast and/or cervical

cancer.

b. Answer questions from

audience about breast

and cervical cancer.

c. Administer a pre/post

test survey.

7.1.17 – 8.3.17

Intern, Health Education

Coordinator

a. Sign-in sheet

b. Flyer advertising class.

c. Pre/Post test survey

results.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 24

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

SCOPE OF WORK TEMPLATE

SCOPE OF WORK FOR (insert student name) ___________________________________________________________

Goal 1:

Public Health Foundational Competency:

Track Specific Competency:

Objective(s)

Activities

Start/End Date

Who Is Responsible

Tracking Measures

Goal 2:

Public Health Foundational Competency:

Track Specific Competency:

Objective(s)

Activities

Start/End Date

Who Is Responsible

Tracking Measures

Goal 3:

Public Health Foundational Competency:

Track Specific Competency:

Objective(s)

Activities

Start/End Date

Who Is Responsible

Tracking Measures

This is a reference form only. Fillable PDF is available to students in MPH Central. Students need to use fillable

PDF for submission.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 25

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

MPH COMPETENCY CHECKLIST

Competencies are statements describing the knowledge base and skill set California State University

San Marcos Masters of Public Health students should possess upon graduation. The following inventory

contains both Public Health Foundational Competencies and Track Specific competencies.

Instructions: Before beginning the internship, indicate the competencies that are to be addressed or

enhanced through internship experience. Place an “X” next to at least THREE Public Health

Foundational competencies and TWO Track Specific competencies. At the end of the internship, an

opportunity will be provided to reflect on how these competencies were mastered through via the final

portfolio submission. Also, additional competencies should be added that may not have been indicated

at the start of the internship.

PUBLIC HEALTH FOUNDATIONAL COMPETENCIES

(MINIMUM OF THREE)

PH 1

Evidence-based Approaches to Public Health: Apply epidemiological methods to the breadth

of settings and situations in public health

practice

PH 2

Evidence-based Approaches to Public Health: Select quantitative and qualitative data

collection methods appropriate for a given public health context

PH 3

Evidence-based Approaches to Public Health: Analyze quantitative and qualitative data using

biostatistics, informatics, computer-based programming and software, as appropriate

PH 4

Evidence-based Approaches to Public Health: Interpret results of data analysis for public

health research, policy or practice

PH 5

Public Health & Health Care Systems: Compare the organization, structure and function of

health care, public health and regulatory systems across national and international settings

PH 6

Public Health & Health Care Systems: Discuss the means by which structural bias, social

inequities and racism undermine health and create challenges to achieving health equity at

organizational, community and societal levels

PH 7

Planning & Management to Promote Health: Assess population needs, assets and capacities

that affect communities’ health

PH 8

Planning & Management to Promote Health: Apply awareness of cultural values and practices

This is a reference form only. Fillable PDF is available to students in MPH Central. Students need to use fillable

PDF for submission.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 26

to the design or implementation of public health policies or programs

PH 9

Planning & Management to Promote Health: Design a population-based policy, program,

project or intervention

PH 10

Planning & Management to Promote Health: Explain basic principles and tools of budget and

resource management

PH 11

Planning & Management to Promote Health: Select methods to evaluate public health

programs

PH 12

Policy in Public Health: Discuss multiple dimensions of the policy-making process, including

the roles of ethics and evidence

PH 13

Policy in Public Health: Propose strategies to identify stakeholders and build coalitions and

partnerships for influencing public health outcomes

PH 14

Policy in Public Health: Advocate for political, social or economic policies and programs that

will improve health in diverse populations

PH 15

Policy in Public Health: Evaluate policies for their impact on public health and health equity

PH 16

Leadership: Apply principles of leadership, governance and management, which include

creating a vision, empowering others, fostering collaboration and guiding decision making

PH 17

Leadership: Apply negotiation and mediation skills to address organizational or community

challenges

PH 18

Communication: Select communication strategies for different audiences and sectors

PH 19

Communication: Communicate audience-appropriate public health content, both in writing

and through oral presentation

PH 20

Communication: Describe the importance of cultural competence in communicating public

health content

PH 21

Interprofessional Practice: Perform effectively on Interprofessional teams

PH 22

Systems Thinking: Apply systems thinking tools to a public health issue

TRACK SPECIFIC COMPETENCIES

(MINIMUM TWO)

HEALTH EDUCATION & PROMOTION COMPETENCIES

HP 1

Apply and integrate evidence-based research, including identifying appropriate data sources

and using informatics, to assess a public health issue

HP 2

Apply principles of leadership in designing, creating, and implementing organizational policies,

strategies, and interventions that address a significant public health problem for diverse

populations

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 27

HP 3

Integrate principles of leadership to develop and manage effective interdisciplinary teams to

evaluate and address regional health inequities and power imbalances

HP 4

Plan, design, and implement a theory-driven, multi-media communication campaign to diverse

communities to influence health promotion program and policy decisions 

HP 5

Apply and synthesize health promotion strategies to community health improvement

initiatives through research methodologies and community engaged projects 

GLOBAL HEALTH COMPETENCIES

GH1

Evaluate how historical, economic, political, and socio- cultural factors facilitate or hinder

cooperation among national and non-governmental organizations that address global health

issues

GH2

Synthesize global health data to assess their significance and develop strategies to address

health problems through the application of evidence-based practice

GH3

Evaluate global health interventions related to national healthcare systems and multilateral

institutions/organizations, particularly in underserved and low-resource community settings

GH4

Apply leadership principles and systems thinking to analyze global health problems/issues and

advocate for data-informed solutions

GH5

Analyze strategies to address cultural intelligence in communicating health disparities across

socially, demographical, or geographically defined populations

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 28

CSUSM PUBLIC HEALTH | INTERNSHIP LEARNING CONTRACT

INTERNSHIP LEARNING CONTRACT SUBMISSION CHECKLIST

 Signature page:

o filled out

o signed by student and internship site supervisor (wet or electronic)

o Current place of employment, if applicable

 Scope of Work:

o Goals – at least three (3)

o Objectives – at least two (2) in each Goal

o Competencies – identified in each Goal

 MPH Competency Checklist:

o filled out from all competencies identified in Scope of Work

 Email ILC to Internship Coordinator

o One packet to Lisa Bandong, [email protected]du

o Copy Internship Site Supervisor on the email submission

o Follow timelines indicated in Internship Manual and MPH Central

o Submissions less than one week prior to the semester add/drop period will not be

accepted

Review of ILC Submission

Internship Coordinator will review the ILC and will either approve with signature or request edits (allow

7-10 business days).

Approval of ILC

Once approved by the Internship Coordinator, then the Internship Coordinator will provide instructions

to the student and site supervisor to complete the registration process. See Procedures/Students in the

Internship Manual.

This is a reference form only. Fillable PDF is available to students in MPH Central. Students need to use fillable

PDF for submission.

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 29

Appendix B – Student Evaluation

CSUSM Public Health | MPH Student Evaluation of Internship

Default Question Block – ONLINE LINK WILL BE EMAILED

DO NOT FILL OUT SAMPLE

Q1 When did you take your internship course?

Q2 Please provide your name below:

Q3 Please provide your Internship Site Supervisor's Information:

Name of Internship Site (1) ________________________________________________

Internship Supervisor's Full Name (2) ________________________________________________

Supervisor's Title (3) ________________________________________________

Q4 Please answer the following regarding your placement:

Start Date (mm/dd/yy) (1) ________________________________________________

End Date (mm/dd/yy) (2) ________________________________________________

Total hours worked (3) ________________________________________________

Q5 Was this a paid opportunity?

Q6 Was this conducted at your current place of employment?

Q7 Through what source(s) did your find your Internship? Please select all that apply.

Campus website (1)

MPH Central Internships listing (2)

Faculty referral (3)

Internship coordinator (4)

Personal contacts (5)

Current employer (paid work done during the semester) (6)

Other, please specify: (7) ________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 30

Q8 Please indicate the primary reason you selected your internship.

Paid (1)

Internship site supervisor had potential for being a good mentor (2)

Learn new skills (3)

Improve a skill you already had (4)

Explore a new content area (5)

Focus on a particular population (6)

Extend a previous experience (7)

Manageable to finish in X hours (8)

Clearly useful to the agency (9)

Other, please specify: (10) ________________________________________________

Q12 Please indicate the second most important reason you selected your internship.

Paid (1)

Internship site supervisor had potential for being a good mentor (2)

Learn new skills (3)

Improve a skill you already had (4)

Explore a new content area (5)

Focus on a particular population (6)

Extend a previous experience (7)

Manageable to finish in X hours (8)

Clearly useful to the agency (9)

Other, please specify: (10) ________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 31

Q11 Please indicate the third most important reason you selected your internship.

Paid (1)

Internship site supervisor had potential for being a good mentor (2)

Learn new skills (3)

Improve a skill you already had (4)

Explore a new content area (5)

Focus on a particular population (6)

Extend a previous experience (7)

Manageable to finish in X hours (8)

Clearly useful to the agency (9)

Other, please specify: (10) ________________________________________________

Q15 Evaluation of Internship Site:

Exceeded Expectations

(3)

Met Expectations (2)

Did Not Meet

Expectations (1)

Workspace/Facilities (1)

Opportunities to interact

with public health

professionals (2)

Opportunities to interact

with community

members (i.e. agency

clients, general public) (3)

Support of Internship

Learning Contract Goals

and Objectives (4)

Display This Question:

If Evaluation of Internship Site: = Did Not Meet Expectations

Q17 You indicated one or more of the elements of your Internship Site did not meet your

expectations. Please let us know why you felt this way so we can continue to improve our internship

program.

________________________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 32

Q16 Evaluation of Internship Site Supervisor:

Always (3)

Sometimes (2)

Never (1)

Internship Site

Supervisor was available

(1)

Provided clear direction

(2)

Assigned relevant and

appropriate tasks (3)

Provided helpful and

timely feedback on my

work (4)

Q19 Evaluation of Internship Experience:

a. Considering the Goals and Objectives you developed for your Internship Learning Contract, how did

you meet those goals and objectives?

Q20 b. What were the main tasks/responsibilities you had during your experience? Please select the

top five from the list below.

Data collection/data entry (1)

Needs assessment (2)

Grant writing/fundraising (3)

Community outreach (4)

Facilitate trainings (5)

Lab work/field sampling (6)

Statistical analysis (7)

Program planning and development (8)

Database development (9)

Public speaking (10)

Develop educational materials (11)

Policy research/analysis (12)

Literature review (13)

Evaluation (14)

Program implementation (15)

Facilitate meetings (16)

Advocacy (17)

Drafting policy/legislation (18)

Other #1, please specify: (19) ________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 33

Other #2, please specify: (20) ________________________________________________

Other #3, please specify: (21) ________________________________________________

Q21 c. List any products that you developed (i.e. curriculum, data collection tools, brochures, etc.) and

whether they are currently being used by your host agency.

________________________________________________________________

Q22 d. How successful overall was the internship in helping you obtain new skills and competencies?

Q23 Please list examples for part d above.

________________________________________________________________

Q24 Please rate the success of your internship in providing you with . . .

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 34

Excellent

(4)

Good

(3)

Fair

(2)

Poor (1)

A first hand experience in the nature of public

health work and the ability to differentiate

public health from personal health care in

theory, ethics, and practice. (1)

Opportunities to apply principles and methods

acquired through MPH classroom education,

including by not limited to program planning

and intervention/health risk assessment

strategies, data collection/analysis, critical

literature review assessments, etc. addressing

health determinates at the individual, group,

community, or population level. (2)

o o o o

Opportunities to recognize and describe issues

of cultural diversity in public health, including

health disparities, risk factors and social

determinants of health. (3)

Opportunities to interact with public health

professionals, leaders, and/or communities

member to develop and expand leadership skills

and expand a professional network base. (4)

Ability to demonstrate your firsthand

knowledge of internship site and agencies that

partner with the internship site, including

mission, services offered, organizational

structure, and ethical standards. (5)

o o o o

Increased competency for a professional career

in public health. (6)

Multiple opportunities to obtain new skills and

demonstrate MPH competency attainment as

indicated in the Scope of Work. (7)

My overall rating of the internship as a valuable

learning experience is: (8)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 35

Display This Question:

If Please rate the success of your internship in providing you with . . . = Fair

Or Please rate the success of your internship in providing you with . . . = Poor

Q25 You rated one or more of the elements of your program as Fair or Poor. Please let us know why

you feel this way so we can work to continue to improve our internship program.

Q26 Are you planning on staying an additional semester?

Q27 Please explain why you will or will not be staying an additional semester.

________________________________________________________________

Q28 If you had to do your internship all over again, what would you do differently?

Q29 Would you recommend that a student do an internship with this organization next year?

Q30 Please explain why you would or would not recommend this organization.

Q31 Evaluation of CSUSM Public Health Internship Guidance

Excellent (3)

Good (2)

Fair (1)

The CSUSM Public

Health Internship Manual

(1)

Online Internship

Orientation (2)

Guidance by Internship

Coordinator (3)

Q35 Please provide any other feedback or recommendations you have for the internship program.

________________________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 36

Appendix C – Site Supervisor Evaluation of Student

CSUSM Public Health | MPH Internship Supervisor's Evaluation of Student

Default Question Block – ONLINE LINK WILL BE EMAILED

DO NOT FILL OUT SAMPLE

Thank you for serving as an MPH Internship Site Supervisor for our student. This evaluation is the

final commitment of your role at the supervisor to this student’s internship experience, and is designed

to provide feedback on the student’s job performance assisting the student in their academic, personal,

and professional development. Your feedback is a crucial part of the internship experience, and is

necessary for the program's accreditation process.

Before starting…

• This evaluation should take no more than 30 minutes to complete, and you can stop the

evaluation at any point and restart where you left off. Just use the link in the email that was

sent to you.

• Please have the Internship Learning Contract for this student accessible, as you will be

required to report on the specifics.

During the evaluation…

• The evaluation has seven (n=7) short sections

• Record your appraisal of the student’s performance in the evaluation.

• Provide detailed feedback where possible in order to help the student is encouraged.

• Section VI includes a student award nomination, if your student meets the criteria set in the

question.

After the evaluation…

• Once you submit the evaluation, a copy of the evaluation will be made available to the

Internship Coordinator.

• Please feel free to discuss your evaluation with the student.

Thank you for taking the time to serve as an internship site supervisor. Your participation and expertise

has been greatly valued by all of us in the MPH program.

End of Block: Introduction Section

Start of Block: Demographics | First Section

Q2.1 Student Name:

o First Name (1) ________________________________________________

o Last Name (2) ________________________________________________

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Q2.2 Internship Supervisor Information:

o First Name (1) ________________________________________________

o Last Name (2) ________________________________________________

o Title (3) ________________________________________________

Q2.3 Agency Information:

o Agency Name (1) ________________________________________________

o Department (2) ________________________________________________

Q2.4 Dates of Internship:

o Start Date (mm/dd/yy) (1) ________________________________________________

o End Date (mm/dd/yy) Note: if you have not yet finished your Internship, please indicated your

anticipated End Date (2) ________________________________________________

Q2.5 Did the student complete their 180 required hours?

o Yes (1)

o No (2)

Display This Question:

If Did the student complete their 180 required hours? = No

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 38

Q2.6 How many hours remain at the time of completing this evaluation?

________________________________________________________________

Page Break

Q2.7 SECTION I. ACHIEVEMENT OF PROJECT GOALS AND OBJECTIVES

This section in necessary for the program's accreditation process. The Internship Learning Contract

(ILC) will be needed for this section and the next. The signed copy was emailed to you by the Internship

Coordinator. Please only use the goals and objectives indicated on the agreed upon Scope of Work

within the ILC for this section. Utilizing the Scope of Work outlined in the Internship Learning Contract,

assess the extent to which you believe the student achieved their work in the following sections:

Indicate whether goals/objectives were met Describe the measure of success for each

goal/objective

Q2.8 Utilizing the Scope of Work outlined in the Internship Learning Contract, assess the extent to which

you believe the student achieved their work in the following section

Goal was met (Y/N) (1)

Describe measure of success (2)

Goal 1 (1)

Goal 2 (2)

Goal 3 (3)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 39

Q2.9 SECTION II. ATTAINMENT OF MPH STUDENT COMPETENCIES

This section in necessary for the program's accreditation process. The Internship Learning Contract

(ILC) will be needed for this section. Please only use the MPH Competencies indicated in the Scope of

Work and MPH Competency checklist. Utilizing the MPH Competency Checklist in the ILC, assess the

extent to which you believe the student mastered these competencies during their supervised

internship experience. Discuss by what means you can determine these were achieved (i.e., measures of

success): First, select the competencies from the drop down list: The first three

competencies are foundational The last two competencies are track specific

Next, evaluate the competence

Q2.10 Please select the first Public Health Foundational Competency assessed.

▼ PH 1 - Apply epidemiological methods to the breadth of settings and situations in public health

practice (1) ... PH 22 - Apply systems thinking tools to a public health issue (22)

Q2.11 Please select the second Public Health Foundational Competency assessed.

▼ PH 1 - Apply epidemiological methods to the breadth of settings and situations in public health

practice (1) ... PH 22 - Apply systems thinking tools to a public health issue (22)

Q2.12 Please select the third Public Health Foundational Competency assessed.

▼ PH 1 - Apply epidemiological methods to the breadth of settings and situations in public health

practice (1) ... PH 22 - Apply systems thinking tools to a public health issue (22)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 40

Q2.13 Please select the first Track Specific Competency assessed.

▼ HP1 - Apply and integrate evidence-based research, including identifying appropriate data sources

and using informatics, to assess a public health issue (1) ... GH5 - Analyze strategies to address cultural

intelligence in communicating health disparities across socially, demographical, or geographically

defined populations (11)

Q2.14 Please select the second Track Specific Competency assessed.

▼ HP1 - Apply and integrate evidence-based research, including identifying appropriate data sources

and using informatics, to assess a public health issue (1) ... GH5 - Analyze strategies to address cultural

intelligence in communicating health disparities across socially, demographical, or geographically

defined populations (11)

Q2.15 Please evaluate the student's current level of competence in the competencies identified above.

Competent (1)

Somewhat Competent (2)

Not Competent (3)

Foundational

Competency 1 (1)

Foundational

Competency 2 (2)

Foundational

Competency 3 (3)

Track Specific

Competency 1 (4)

Track Specific

Competency 2 (5)

Page Break

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 41

Q2.16 SECTIONS III-VI

Please evaluate the student's skills, personal qualities, and overall performance in the four sections

below.

Q2.17 SECTION III. INTERPERSONAL SKILLS

Exceeds expectations (5)

Meets expectations (4)

Short of expectations (3)

Ability to communicate

with staff (1)

Ability to communicate

with clientele (2)

Ability to work with and

for others (3)

Ability to seek and use

help (4)

Openness to constructive

criticism (5)

Ability to work

independently (6)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 42

Q2.18 SECTION IV. SKILLS

Exceeds expectations (5)

Meets expectations (4)

Short of expectations (3)

Verbal communication (1)

Written communication

(2)

Analyzing problems (3)

Problem solving (4)

Organization (5)

Follow-through (6)

Ability to meet deadlines

(7)

Q2.19 SECTION V. OVERALL RATING

Exceeds expectations (5)

Meets expectations (4)

Short of expectations (3)

Taking all items into

consideration, how would

you rate this student’s

performance at your

agency (1)

o o o

Page Break

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 43

Q2.20 SECTION VI. Feedback on Student Development

Q2.21 What “professional development plan” would you recommend to the student (e.g., additional

courses, skills or experience that would strengthen his/her career potential in public health)?

________________________________________________________________

Q2.22 In your opinion, how well do prepared was the student to undertake the tasks asked of him/her

during the course of the internship?

o Very prepared (4)

o Prepared (3)

o Somewhat prepared (2)

o Not prepared (1)

Q2.23 MPH Internship Award Nomination: One annual award will be chosen by the Internship

Coordinator based upon all the received Internship Site Supervisor nominations.

Criteria Made a significant contribution to the internship site (i.e. designed, developed,

evaluated investigated a sustainable product to move forward the agenda of the internship site. In good

standing with the internship site

Do you recommend this student for the MPH Internship Award?

o Yes (1)

o No (2)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 44

Display This Question:

If MPH Internship Award Nomination: One annual award will be chosen by the Internship Coordinator ba... =

Yes

Q2.24 If you are nominating this student, then please explain your nomination based on the above

criteria.

________________________________________________________________

Page Break

Q2.25 SECTION VII: Feedback on Supervisory Experience

Q2.26 Would you be willing to serve as an Internship Supervisor next semester?

o Yes (1)

o No (2)

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 45

Q2.27 Please rate the support offered from the CSUSM Public Health program.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Communication

with the Public

Health Internship

Coordinator (1)

CSUSM Office of

Internships (2)

Responsiveness (3)

Q2.28 What is your overall rating of the internship experience?

o Excellent (4)

o Good (3)

o Fair (2)

o Poor (1)

Q2.29 We welcome any recommendations or feedback that you have to help us continue to improve the

CSUSM Public Health Internship Program.

________________________________________________________________

CSUSM PUBLIC HEALTH | INTERNSHIP MANUAL | V 7.0 PAGE | 46

Appendix D – Sample Outline of Internship Announcement

Announcement should include the following elements:

1. Description of the program/project

a. One paragraph

2. Highlight potential tasks (3-5 tasks)

Assessment

Intervention

Policy

Process

Analyzing and

collecting data

Program

planning/development

Policy Research

Department, agency,

and community

meetings

Conduct focus group

interviews

Planning workshops,

conferences

Advocacy

Consultation

Conduct needs

assessment

Providing

training/public

speaking/presentations

Interpreting

regulations/programs

from policy

Computer proficiency

Determining program

priorities

Setting program

objectives

Working with diverse

and cultural and ethnic

groups

Collecting/analyzing

data

Proposal

writing/grantsmanship

Working with

interdisciplinary

teams/groups

Analyses of social,

cultural, historical

context of problem

Marketing

Community organizing

Health

communications

Evaluation research

3. Include requirements

o Hours per week

o Language preference

o Time commitment

o Interview

4. Include preferences

o Prior experiences in…

o Interests in…

o Special considerations…

o Paid/unpaid

5. Contact information and how to apply

o Submit resume/cover letter or application

o Links to website

o Addresses to submit