Date * Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Student Last Name * First Name * Middle Name / Initial Internship Site * Site Supervisor * Supervisor Phone * Supervisor Email Address Internship Site Address * Student Qualifications * ExcellentGoodFairPoorCannot Rate General Background Knowledge * General Background Knowledge - Excellent General Background Knowledge - Good General Background Knowledge - Fair General Background Knowledge - Poor General Background Knowledge - Cannot Rate Adaptability * Adaptability - Excellent Adaptability - Good Adaptability - Fair Adaptability - Poor Adaptability - Cannot Rate Readiness to Learn * Readiness to Learn - Excellent Readiness to Learn - Good Readiness to Learn - Fair Readiness to Learn - Poor Readiness to Learn - Cannot Rate Dependability * Dependability - Excellent Dependability - Good Dependability - Fair Dependability - Poor Dependability - Cannot Rate Interpersonal Skills * Interpersonal Skills - Excellent Interpersonal Skills - Good Interpersonal Skills - Fair Interpersonal Skills - Poor Interpersonal Skills - Cannot Rate Judgment * Judgment - Excellent Judgment - Good Judgment - Fair Judgment - Poor Judgment - Cannot Rate Maturity * Maturity - Excellent Maturity - Good Maturity - Fair Maturity - Poor Maturity - Cannot Rate Initiative * Initiative - Excellent Initiative - Good Initiative - Fair Initiative - Poor Initiative - Cannot Rate Accuracy * Accuracy - Excellent Accuracy - Good Accuracy - Fair Accuracy - Poor Accuracy - Cannot Rate Flexibility * Flexibility - Excellent Flexibility - Good Flexibility - Fair Flexibility - Poor Flexibility - Cannot Rate Duties * (Please comment on the duties or projects which the student undertook and the student’s degree of success in completing the work): General Evaluation * (Please comment on any aspect of the student’s performance): Grade * (Please recommend a letter grade for the student): Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit