Supervisor Evaluation of Co-op/ Intern form

These are abilities we expect students to learn/improve upon as a result of a cooperative education (co-op) experience. Please indicate your student's level of competence (as compared to other co-op/internship students at your company) in each of these attributes by ranking the student from 1 (very limited) to 5 (highly competent). Please use N/A for "not applicable". Thank you! We appreciate your honesty. If requested, a student may view all documents in his/her file. This data is used to develop profiles for the accreditation process.

Please complete the information below and then press the Submit button.

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Student and Organization
Student Last Name	*
Student First/Middle Name	*   (First Middle)
Student Identification Number	*   (NOT SSN)
Start Date	(Click the calendar icon to select date)
End Date	(Click the calendar icon to select date)
Evaluator's Last Name	*
Evaluator's First/Middle Name	*   (First Middle)
Evaluator's position
Employer (Company Name)	*
Division
Email	*
Street Address
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Questionaires
Relation with Others	Exceptionally Well-accepted Congenial and helpful Gets along satisfactorily Difficult, sometimes antagonistic Frequent quarrels and friction
Attitude - Interest in Work	High Very Interested and Industrious Average in diligence and interest Sporadic Very little
Judgement	Exceptionally good Usually makes good decision Usually makes right decision Often undependable Poor
Dependability	Can always be depended upon in any situation Can usually be depended upon in most situations Can be depended upon in routine situations Somewhat unreliable. Need above average checking Unreliable
Ability to Learn	Exceptionally quick Quick Average Slow Extremely Slow
Quantity of Work	Very High More than Expected Expected Amount Less than Expected Very Low
Quality of Work	Very High More than Expected Normal Below Normal Unreliable
Initiative	Self-started Acts voluntarily in most matters Acts voluntarily in routine matters Relies on others Waits to be told what to do
Preparation (has adequately prepared for his job in terms of previous college courses)	Excellent academic preparation Well prepared Adequately prepared Needs better preparation Not at all prepared
Adaptability	Easily adapts to changing ideas and procedures Usually adapts Average ability to adapt to changing ideas and procedures Has difficulty readily adapting to changing ideas and procedures Cannot adapt at all to changing ideas and procedures
Organization and Planning	Does an excellent job of planning and organizing his/her work Usually organizes work well Does normal amount of planning and organizing More often than not fails to organize and plan work effectively Consistently fails to organize and work effectively
Attendance	Regular Irregular
Punctuality	Regular Irregular
Attire and Grooming	Appropriate Inappropriate
Acceptance of feedback	Appreciative or willing Resentful of reluctant
Oral Communication Skills	Excellent Good Needs improvement
Written Communication Skills	Excellent Good Needs improvement
Overall performance	Outstanding Very Good Average Marginal Unsatisfactory
What are the students strongest assets?
What qualities and characteristics should the student especially strive to improve?
Will the student return for the next work period?	Yes No
Same Schedule?	Yes No
Will you consider engaging this student for a position in your organization?	Yes No