ESS-C-165 Internship Placement Report (Rev 2022-09-14)

Form Number: 


The ESS-C-165 Internship Placement Report will be used exclusively with the SES Internship Service. The EC will complete the form when the individual is placed in or begins an internship. The completed ESS-C-166 will be submitted to DRS Counselor by email with other required documentation for payment and a copy retained in the individual’s Case Documentation file.


File Origination or Revision Date: 

Revised 2022-09-14