NASA JOHNSON SPACE CENTER

1
NASA JOHNSON SPACE CENTER STUDENT PROGRAM
EDUCATION INTERVIEW
Name School Major Date of Leave Return to
Work Date Graduation Date (Month/Year)
Part A Which organization were you assigned to
this work tour? Did you enjoy your work
tour? (Mail Code only) Mail Code Yes
No What is your current supervisors name and
extension? Would you recommend other
students doing a rotation there? Name
Extension Yes No
Part B Is this your last tour? No___
Yes___? (PLEASE PROVIDE AN UPDATED RESUME)
Those of you who will be returning, how many
work tours do you have remaining at JSC? Please
provide use with the dates of your remaining work
tours below 1.__________ to __________ 4.
__________to __________ 2. __________to
__________ 5. __________to __________ 3.
__________to __________ 6. __________to
__________
Part C (Complete only if you will be returning
for another work tour) If you will be returning
for another work tour, please complete
information below. Yes___ No___ Supervisors
Name_________________________ Supervisors
Extension_______ Mail Code_______
Part D Permanent Address Phone Number Your
Address Phone Number at school _________________
____________________ _____________________________
________ _____________________________________ __
___________________________________ Phone Number
( ) Phone Number ( ) E-mail
Address________________________
Part E (Complete only if this is your last work
tour) If this is your last work tour, which
division would you prefer being assigned to
permanently? Division Mail Code
Part F Signature Date
FOR OFFICE USE ONLY Did student bring performance
appraisal? Yes No Performance appraisal
sent to school Follow up on performance
appraisal Information input into computer