Intern Evaluation

Name of student intern *

Start of assignment *

mm/dd/yyyy

End of assignment *

mm/dd/yyyy

Relationship with others *

Attitude *

Dependability *

Ability to learn *

Quality of work *

Attendance *

Punctuality *

Overall rating *

Brief description of the internship assignment *

Additional comments

Internship supervisor name and title *

Email *

Phone *

Phone

Name of Site/Organization *

Internship supervisor electronic signature *

By checking this box, you are signing this form and certifying that you are the internship supervisor and that all information is true and correct to the best of your knowledge.

*

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