Name _____________________________________________ Date: ________

    Internship site:_______________________________________Area: ________

	Honors	Satisfactory	Unsatisfactory
Professionalism. Appearance, punctuality, respect	______	______	______
Responsibility. Meets deadlines, completes jobs	______	______	______
Initiative. Tackles new and different projects, keeps busy, looks for work, volunteers, solves problems independently	______	______	______
Human relations. Friendly, positive, willing to perform both menial and important tasks	______	______	______
Work Ethic. Honesty, integrity, hard worker, job commitment, seriousness of purpose	______	______	______
Work Quality. Neat, complete, thoughtful, correct format and mechanics	______	______	______
Overall performance rating.	______	______	______
The intern's strongest characteristic:
The intern's weakest characteristic:

  Supervisor's Signature:________________________________________Date: ________

  Student Intern's Signature:_____________________________________ Date: ________