Student’s Name _______________________________ Major ___________________
Student’s Supervisor ___________________________ Location ________________
Review Date _______________________________
Instructions: The immediate supervisor should evaluate the student objectively, comparing him/her with other students of comparable academic level, with other personnel assigned the same or similar positions, or with individual standards. Remarks are particularly helpful appreciated.
Attitude – Application to Work Ability to Learn
| ( ) Enthusiastic ( ) Very interested and industrious ( ) Average in diligence and interest ( ) Somewhat indifferent ( ) Definitely not interested |
( ) Learned tasks very well |
Initiative Quality of Work
| ( ) Proceeds well on his/her own ( ) Frequently works well on own ( ) Does all assigned work ( ) Hesitates ( ) Must be pushed frequently |
( ) Excellent ( ) Very Good ( ) Average ( ) Below average ( ) Very poor |
Dependability Relations with others
| ( ) Completely dependable ( ) Above average in dependability ( ) Usually dependable ( ) Sometimes neglectful ( ) Unreliable |
( ) Exceptionally well accepted ( ) Works well with others ( ) Gets along satisfactorily ( ) Difficulty working with others ( ) Works very poorly with others |
What do you consider the student’s most significant strengths?
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What areas of improvement would you suggest for this student?
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If your organization had an opening for a person with the background of this student, would you hire her/him? Why?
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Do you have suggestions that would improve the Internship/Practicum Program?
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Would you be interested in having another student for a future semester? If yes, please briefly describe the student’s proposed responsibilities.
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Intern/Practicum Supervisor’s Signature ______________________________________________ Date ____________________