Student: ______________________________ Date: ____________________
Site Supervisor: _________________________________________________
Job Title: _____________________________ Phone: ___________________
Projects Completed
Current or Pending Work
Performance Appraisal
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Excellent |
Good |
Satisfactory |
Needs Improvement |
Poor |
| Use of working time |
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| Quality of Work |
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| Initiative --Assumes responsibility |
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| Ability to learn |
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| Communication skills |
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| Accepts feedback and learns from it |
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| Adaptable to changing situations |
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| Performance in stressful situations |
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| Meets deadlines |
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| Demonstrates ability to meet and deal with clients or customers |
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| Reliable and prompt |
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| Maintains appropriate appearance |
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Suggested Improvements:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Supervisor's Comments:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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Supervisor Signature
Intern Review:
If the intern wishes to do so, any comments concerning the evaluation (agreement or disagreement) may be indicated in the space below:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
I have reviewed this document and discussed the contents with my supervisor. My signature means that I have been advised of my performance status and does not necessarily imply that I agree with this evaluation.
_______________________________________________________________
Intern Signature and Date
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