Student Internship Evaluation Form(***To be completed by the work supervisor***)Department of Mathematics and Computer Science, Lincoln University Name of Intern ___________________________________ Date of Internship __________________________________ Company/Program ___________________________________ Brief Description of Intern Responsibilities ___________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Please rate the Intern on a scale from 1 to 4 as follows: (4) Outstanding – Consistently exceptional in fulfilling requirements. (3) Good – Regularly meets and occasionally exceeds minimum requirements. (2) Fair – Does passable work but does not extend oneself. (1) Poor – Fails to meet minimum requirements. (N/A) Not applicable. Overall performance of internship responsibilities _________ Possesses the skills necessary for the position _________ Behaves in a professional manner _________ Accepts assignments willingly _________ Completes assignments on or before due date _________ Displays ability to organize self and resources _________ Able to apply knowledge and work independently _________ Works effectively with others _________ Accepts suggestions, directions and critical evaluations _________ Able to communicate well _________ * Please attach any other Evaluation material Additional comments regarding the performance of the Intern in this position: ____________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ____________________________ _________________________ Supervisor' s signature Date ____________________________ _________________________ Student' s signature Date
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