Name of Intern:

Semester:

Major:

Course:

Work Dates:

to

Hours/Week:

Job Title:

Employer Name:

Address:

City:

State:

Zip Code:

Well-groomed

Works well with others

Very enthusiastic & industrious

Acceptable

Gets along satisfactorily w/others

Average in diligence & interest

Not Acceptable

Needs work developing relationships

Below avg. in diligence & interest

Self-confident

Makes mature decisions

Very dependable

Usually confident

Above average in making decisions

Above average in dependability

Lacks confidence

Usually makes the right decision

Usually dependable

Needs improvement

Could be more dependable

Very mature

Learns quickly

Excellent

Mature

Average learner

Very good

Somewhat immature

Requires additional learning time

Average

Below average

OVERALL PERFORMANCE

Outstanding

Very good

Average

Marginal