Student ____________________________________________ Faculty Coordinator Dr. Sara Horsfall
Internship sponsor (Company/Organization)_____________________________________________________________
Internship Supervisor (person completing form) __________________________________________________________
Address________________________________________________Phone ____________________________________
ACADEMIC EVALUATION: Please circle appropriate response - 1 (low) to 5 (high).
The student was well prepared for this experience in the following areas:
| Overall academic training | 1 | 2 | 3 | 4 | 5 |
| Preparation in academic major | 1 | 2 | 3 | 4 | 5 |
| Basic skills (written/verbal) | 1 | 2 | 3 | 4 | 5 |
| Maturity | 1 | 2 | 3 | 4 | 5 |
PERFORMANCE EVALUATION: (Please
check appropriate response)
| PROFESSIONAL ATTITUDE | RELATIONS WITH OTHERS |
| _______Outstanding in enthusiasm | _______Works well with others |
| _______Very interesting and industrious | _______Gets along satisfactorily |
| _______Average in diligence and interes | _______Has difficulty working with others |
| _______Somewhat indifferent | _______Works very poorly with others |
| _______Definitely not interested | INIATIVE |
| ABILITY TO LEARN | _______Proceeds with little or not supervision |
| _______Learns work exceptionally well | _______Goes ahead independentl at times |
| _______Learns work readily | _______Hesitates |
| _______Average in understanding work | _______Must be encouraged frequentlyh |
| _______Rather slow in learning | QUANTITY OF WORK (amount) |
| _______Very slow to learn | _______Unusally high output |
| QUALITY OF WORK | _______More than average |
| _______Excellent | _______Normal amount |
| _______Very good | _______Does only assigned work |
| _______Below average | _______Below average |
| _______Very poor | _______Low output, slow |
| ATTENDANCE | PUNCTUALITY |
| _______Exceptional | _______Exceptional |
| _______Acceptable | _______Acceptable |
| _______Frequent Absences | _______Frequent Absences |
If this student was available for hire and you had an opening, would you hire her/him? Yes_____No ______
Additional comments: ____________________________________________________________________
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