Cooperative Education and Internship Program (CEIP)College of Engineering 

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.

Items marked * are required fields!

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)
Street Address
Zip Code
Relation with Others

Attitude - Interest in Work



Ability to Learn

Quantity of Work

Quality of Work


Preparation (has adequately prepared for his job in terms of previous college courses)


Organization and Planning



Attire and Grooming

Acceptance of feedback

Oral Communication Skills

Written Communication Skills

Overall performance

Will the student return for the next work period?

Same Schedule?

Will you consider engaging this student for a position in your organization?

Contact Info: