Free 44669.pdf - Indiana

REPORT OF INTERN PERIODIC ASSESSMENT
State Form 44669 (12-92)

Name of intern

Reporting period From To

In. file number

TRAINING CATEGORIES AND AREAS A. DESIGN AND CONSTRUCTION 1. Programming 2. Site & Enviromental Analysis 3. Schematic Design 4. Building Cost Analysis 5. Code Research 6. Design Development 7. Construction Documents 8. Specifications & Materials Research 9. Documents Checking & Coordination Elective Value Units - Category A TOTAL CATEGORY A B. CONSTRUCTION ADMINISTRATION 10. Bidding & Contract Negotiation 11. Construction Phase - Office 12. Construction Phase - Observation Elective Value Units - Category B TOTAL CATEGORY B C. MANAGEMENT 13. Project Procedures 14. Office Management Elective Value Units - Category C TOTAL CATEGORY C D. RELATED ACTIVITIES 15. Professional & Community Service 16. 17. 18. 19. 20. TOTAL CATEGORY D Elective Value Units - Any Category TOTAL

VALUE UNITS EARNED THIS PERIOD SUP. ED. EXPERIENCE

VALUE UNITS EARNED TO DATE SUP. ED. EXPERIENCE

MIN. VUs REQUIRED * EXPERIENCE

ADD'L. VUs REQUIRED EXPERIENCE

* The difference between the minimum total value units required in each of categories A,B, C and D and the sum of the minimum required for each training area within the category must be acquired by earning value units from training areas within the same category.