SlideShare une entreprise Scribd logo
1  sur  3
EMPLOYER EVALUATION FORM
Student / Internee: ________________________________________________________
Organization: ____________________________________________________________
Assessment Criteria Key:
1. Unsatisfactory (Never demonstrates this ability / does not meet expectations)
2. Uncomplimentary (Seldom demonstrates this ability/ rarely meets expectations)
3. Fair (Sometimes demonstrates this ability / meets expectations)
4. Commendable ( Usually demonstrates this ability / sometimes exceeds expectations)
5. Exceptional (Always demonstrates this ability / consistently exceeds expectations)
Please check the appropriate number, if any criteria are not acceptable to this internship experience, please leave
the response blank.
Ability to Learn
a) Asks pertinent and purposeful questions 1 2 3 4 5
b) Seeks out and utilizes appropriate resources 1 2 3 4 5
c) Accepts responsibility for mistakes and learns from experiences 1 2 3 4 5
Reading / Writing / Computation Skills
a) Reads / comprehends / follows written material 1 2 3 4 5
b) Communicates ideas and concepts clearly in writing 1 2 3 4 5
c) Works with mathematical procedures appropriate to the job 1 2 3 4 5
Listening & Oral Communication Skills
a) Listen to others in an active and attentive manner 1 2 3 4 5
b) Effectively participates in meetings or group settings 1 2 3 4 5
c) Demonstrates effective verbal communication skills 1 2 3 4 5
Creative Thinking & Problem Solving Skills
a) Breaks down complex tasks / problems into manageable pieces 1 2 3 4 5
b) Brainstorms / develops options and ideas 1 2 3 4 5
c) Demonstrates an analytical capacity 1 2 3 4 5
Professional & Career Development Skills
a) Exhibits self-motivated approach to work 1 2 3 4 5
b) Demonstrates ability to set appropriate priorities / goals 1 2 3 4 5
c) Exhibits professional behavior and attitude 1 2 3 4 5
Interpersonal & Teamwork Skills
a) Manages and resolves conflict in an effective manner 1 2 3 4 5
b) Supports and contributes to a team atmosphere 1 2 3 4 5
c) Demonstrates assertive but appropriate behavior 1 2 3 4 5
Organizational Effectiveness Skills
a) Seeks to understand and support the organization’s mission / goals 1 2 3 4 5
b) Fits in with the norms and expectations of the organization 1 2 3 4 5
c) Works with appropriate authority and decision making channels 1 2 3 4 5
Basic Work Habits
a) Reports to work as scheduled and on-time 1 2 3 4 5
b) Exhibits a positive and constructive attitude 1 2 3 4 5
c) Dress and appearance are appropriate for this organization 1 2 3 4 5
Character Attributes
a) Brings a sense of values and integrity to the job 1 2 3 4 5
b) Behaves in ethical manner 1 2 3 4 5
c) Respects the diversity (religious / cultural) of co-workers 1 2 3 4 5
Open Category: Industry Specific Skills
Are there any skills or competencies that you feel are important to the profession or career-field (represented by
your organization) that have not been listed in this evaluation? If so, please list these skills below and assess the
intern accordingly.
a) _______________________________________________________ 1 2 3 4 5
b) _______________________________________________________ 1 2 3 4 5
c) _______________________________________________________ 1 2 3 4 5
Comments (If Any):
---------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------
Overall Performance (If I were to rate the overall performance of the intern)
Unsatisfactory Poor Average Good Outstanding
0 1 2 3 4 5 6 7 8 9 10
F D D+ C- C C+ B- B B+ A- A
This assessment was reviewed after six weeks of internship on (Day/Month/Year) ________________
Evaluator’s Signature: __________________ Title/Position: _____________________
Date: __________________________ Telephone: _______________________

Contenu connexe

Plus de FaHaD .H. NooR

Plus de FaHaD .H. NooR (20)

Training for Zendesk Administrators MasterClass - Fahad Hassan Noor
Training for Zendesk Administrators MasterClass - Fahad Hassan NoorTraining for Zendesk Administrators MasterClass - Fahad Hassan Noor
Training for Zendesk Administrators MasterClass - Fahad Hassan Noor
 
TikTok Marketing: Grow Your Account & Master TikTok Ads - Fahad Hassan Noor
TikTok Marketing: Grow Your Account & Master TikTok Ads - Fahad Hassan NoorTikTok Marketing: Grow Your Account & Master TikTok Ads - Fahad Hassan Noor
TikTok Marketing: Grow Your Account & Master TikTok Ads - Fahad Hassan Noor
 
Amazon FBA Private Label Course for Beginners | Amazon 2022 - Fahad Hassan Noor
Amazon FBA Private Label Course for Beginners | Amazon 2022 - Fahad Hassan NoorAmazon FBA Private Label Course for Beginners | Amazon 2022 - Fahad Hassan Noor
Amazon FBA Private Label Course for Beginners | Amazon 2022 - Fahad Hassan Noor
 
Complete Video Production, Video Marketing, & YouTube Course - Fahad Hassan Noor
Complete Video Production, Video Marketing, & YouTube Course - Fahad Hassan NoorComplete Video Production, Video Marketing, & YouTube Course - Fahad Hassan Noor
Complete Video Production, Video Marketing, & YouTube Course - Fahad Hassan Noor
 
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
 
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
Fahad Hassan Noor | Zendesk Customer Support Portal Certified | Udemy Premium...
 
Supply Chain Management
Supply Chain ManagementSupply Chain Management
Supply Chain Management
 
Creating and Managing Supplier Relationships
Creating and Managing Supplier RelationshipsCreating and Managing Supplier Relationships
Creating and Managing Supplier Relationships
 
ETHICAL AND SUSTAINABLE SOURCING
ETHICAL AND SUSTAINABLE SOURCINGETHICAL AND SUSTAINABLE SOURCING
ETHICAL AND SUSTAINABLE SOURCING
 
Purchasing mangement - Puchasing Process - Make Or Buy Decisions - Supplier S...
Purchasing mangement - Puchasing Process - Make Or Buy Decisions - Supplier S...Purchasing mangement - Puchasing Process - Make Or Buy Decisions - Supplier S...
Purchasing mangement - Puchasing Process - Make Or Buy Decisions - Supplier S...
 
MCB Islamic Bank Internship Report - UCP - 2019
MCB Islamic Bank Internship Report - UCP - 2019MCB Islamic Bank Internship Report - UCP - 2019
MCB Islamic Bank Internship Report - UCP - 2019
 
Transportation Fundamentals | Transportation stake holders | Transport Capabi...
Transportation	Fundamentals | Transportation stake holders | Transport Capabi...Transportation	Fundamentals | Transportation stake holders | Transport Capabi...
Transportation Fundamentals | Transportation stake holders | Transport Capabi...
 
Transportation Infrastructure | Transport functionality | Principles and part...
Transportation Infrastructure | Transport functionality | Principles and part...Transportation Infrastructure | Transport functionality | Principles and part...
Transportation Infrastructure | Transport functionality | Principles and part...
 
Purchasing Policy and Procedures | Policies provide guidance and direction | ...
Purchasing Policy and Procedures | Policies provide guidance and direction | ...Purchasing Policy and Procedures | Policies provide guidance and direction | ...
Purchasing Policy and Procedures | Policies provide guidance and direction | ...
 
Purchasing objectives | Responsibilities of purchasing | E-procurement and th...
Purchasing objectives | Responsibilities of purchasing | E-procurement and th...Purchasing objectives | Responsibilities of purchasing | E-procurement and th...
Purchasing objectives | Responsibilities of purchasing | E-procurement and th...
 
Introduction to purchasing and supply chain management | Factors Driving SCM ...
Introduction to purchasing and supply chain management | Factors Driving SCM ...Introduction to purchasing and supply chain management | Factors Driving SCM ...
Introduction to purchasing and supply chain management | Factors Driving SCM ...
 
DG Khan Cement Company Ltd | Human Resource | Internship Report | Fahad Hassa...
DG Khan Cement Company Ltd | Human Resource | Internship Report | Fahad Hassa...DG Khan Cement Company Ltd | Human Resource | Internship Report | Fahad Hassa...
DG Khan Cement Company Ltd | Human Resource | Internship Report | Fahad Hassa...
 
Human Trafficking | History & Waves | Prevention | HT in Pakistan |
Human Trafficking | History & Waves | Prevention | HT in Pakistan |Human Trafficking | History & Waves | Prevention | HT in Pakistan |
Human Trafficking | History & Waves | Prevention | HT in Pakistan |
 
What is Strategic Management? | Strategy Formulation | Implementation | Evalu...
What is Strategic Management? | Strategy Formulation | Implementation | Evalu...What is Strategic Management? | Strategy Formulation | Implementation | Evalu...
What is Strategic Management? | Strategy Formulation | Implementation | Evalu...
 
External Audit | Nature Of External Audit | Industrial Organization View | Ex...
External Audit | Nature Of External Audit | Industrial Organization View | Ex...External Audit | Nature Of External Audit | Industrial Organization View | Ex...
External Audit | Nature Of External Audit | Industrial Organization View | Ex...
 

Dernier

Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
amitlee9823
 
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
amitlee9823
 
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
amitlee9823
 
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night StandCall Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
amitlee9823
 
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
amitlee9823
 
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
poojakaurpk09
 
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
amitlee9823
 
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
amitlee9823
 
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
amitlee9823
 
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
amitlee9823
 
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
amitlee9823
 

Dernier (20)

TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
 
Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
Chikkabanavara Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangal...
 
WhatsApp 📞 8448380779 ✅Call Girls In Salarpur Sector 81 ( Noida)
WhatsApp 📞 8448380779 ✅Call Girls In Salarpur Sector 81 ( Noida)WhatsApp 📞 8448380779 ✅Call Girls In Salarpur Sector 81 ( Noida)
WhatsApp 📞 8448380779 ✅Call Girls In Salarpur Sector 81 ( Noida)
 
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
Call Girls Devanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service B...
 
Personal Brand Exploration - Fernando Negron
Personal Brand Exploration - Fernando NegronPersonal Brand Exploration - Fernando Negron
Personal Brand Exploration - Fernando Negron
 
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Bommanahalli Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
 
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night StandCall Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
Call Girls In Kengeri Satellite Town ☎ 7737669865 🥵 Book Your One night Stand
 
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
Call Girls Brigade Road Just Call 👗 7737669865 👗 Top Class Call Girl Service ...
 
Miletti Gabriela_Vision Plan for artist Jahzel.pdf
Miletti Gabriela_Vision Plan for artist Jahzel.pdfMiletti Gabriela_Vision Plan for artist Jahzel.pdf
Miletti Gabriela_Vision Plan for artist Jahzel.pdf
 
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
Virgin Call Girls Delhi Service-oriented sexy call girls ☞ 9899900591 ☜ Rita ...
 
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen DatingDubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
 
Resumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying OnlineResumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying Online
 
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
Vip Mumbai Call Girls Ghatkopar Call On 9920725232 With Body to body massage ...
 
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
Call Girls Jayanagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Ban...
 
Dubai Call Girls Demons O525547819 Call Girls IN DUbai Natural Big Boody
Dubai Call Girls Demons O525547819 Call Girls IN DUbai Natural Big BoodyDubai Call Girls Demons O525547819 Call Girls IN DUbai Natural Big Boody
Dubai Call Girls Demons O525547819 Call Girls IN DUbai Natural Big Boody
 
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Bidadi Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
Call Girls Btm Layout Just Call 👗 7737669865 👗 Top Class Call Girl Service Ba...
 
Rearing technique of lac insect and their management
Rearing technique of lac insect and their managementRearing technique of lac insect and their management
Rearing technique of lac insect and their management
 
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
 
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hosur Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 

Internee & Employer Evaluation form PDF

  • 1. EMPLOYER EVALUATION FORM Student / Internee: ________________________________________________________ Organization: ____________________________________________________________ Assessment Criteria Key: 1. Unsatisfactory (Never demonstrates this ability / does not meet expectations) 2. Uncomplimentary (Seldom demonstrates this ability/ rarely meets expectations) 3. Fair (Sometimes demonstrates this ability / meets expectations) 4. Commendable ( Usually demonstrates this ability / sometimes exceeds expectations) 5. Exceptional (Always demonstrates this ability / consistently exceeds expectations) Please check the appropriate number, if any criteria are not acceptable to this internship experience, please leave the response blank. Ability to Learn a) Asks pertinent and purposeful questions 1 2 3 4 5 b) Seeks out and utilizes appropriate resources 1 2 3 4 5 c) Accepts responsibility for mistakes and learns from experiences 1 2 3 4 5 Reading / Writing / Computation Skills a) Reads / comprehends / follows written material 1 2 3 4 5 b) Communicates ideas and concepts clearly in writing 1 2 3 4 5 c) Works with mathematical procedures appropriate to the job 1 2 3 4 5 Listening & Oral Communication Skills a) Listen to others in an active and attentive manner 1 2 3 4 5 b) Effectively participates in meetings or group settings 1 2 3 4 5 c) Demonstrates effective verbal communication skills 1 2 3 4 5
  • 2. Creative Thinking & Problem Solving Skills a) Breaks down complex tasks / problems into manageable pieces 1 2 3 4 5 b) Brainstorms / develops options and ideas 1 2 3 4 5 c) Demonstrates an analytical capacity 1 2 3 4 5 Professional & Career Development Skills a) Exhibits self-motivated approach to work 1 2 3 4 5 b) Demonstrates ability to set appropriate priorities / goals 1 2 3 4 5 c) Exhibits professional behavior and attitude 1 2 3 4 5 Interpersonal & Teamwork Skills a) Manages and resolves conflict in an effective manner 1 2 3 4 5 b) Supports and contributes to a team atmosphere 1 2 3 4 5 c) Demonstrates assertive but appropriate behavior 1 2 3 4 5 Organizational Effectiveness Skills a) Seeks to understand and support the organization’s mission / goals 1 2 3 4 5 b) Fits in with the norms and expectations of the organization 1 2 3 4 5 c) Works with appropriate authority and decision making channels 1 2 3 4 5 Basic Work Habits a) Reports to work as scheduled and on-time 1 2 3 4 5 b) Exhibits a positive and constructive attitude 1 2 3 4 5 c) Dress and appearance are appropriate for this organization 1 2 3 4 5 Character Attributes a) Brings a sense of values and integrity to the job 1 2 3 4 5 b) Behaves in ethical manner 1 2 3 4 5 c) Respects the diversity (religious / cultural) of co-workers 1 2 3 4 5
  • 3. Open Category: Industry Specific Skills Are there any skills or competencies that you feel are important to the profession or career-field (represented by your organization) that have not been listed in this evaluation? If so, please list these skills below and assess the intern accordingly. a) _______________________________________________________ 1 2 3 4 5 b) _______________________________________________________ 1 2 3 4 5 c) _______________________________________________________ 1 2 3 4 5 Comments (If Any): --------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- Overall Performance (If I were to rate the overall performance of the intern) Unsatisfactory Poor Average Good Outstanding 0 1 2 3 4 5 6 7 8 9 10 F D D+ C- C C+ B- B B+ A- A This assessment was reviewed after six weeks of internship on (Day/Month/Year) ________________ Evaluator’s Signature: __________________ Title/Position: _____________________ Date: __________________________ Telephone: _______________________