Your Name and Title:
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Department:
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Intern's Name (first name only is fine):
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you describe the Intern's Attitude toward their work?
              
             
          
                
                
                
                  
                    Outstanding 
                  
                    Very interested and industrious 
                  
                    Average in diligence and interest 
                  
                    Somewhat indifferent 
                  
                    Definitely not interested 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you describe their Ability to Learn?
              
             
          
                
                
                
                  
                    Learns skills and tasks exceptionally well 
                  
                    Learns skills and tasks readily 
                  
                    Average in understanding of work 
                  
                    Rather slow in learning 
                  
                    Very slow in learning 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you rate their Dependability?
              
             
          
                
                
                
                  
                    Outstanding 
                  
                    Good 
                  
                    Average 
                  
                    Sometimes neglectful or careless 
                  
                    Unreliable 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you describe their Quality of Work?
              
             
          
                
                
                
                  
                    Outstanding 
                  
                    Good 
                  
                    Average 
                  
                    Poor 
                  
                    Very Poor 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How well did they Relate to Others in the workplace?
              
             
          
                
                
                
                  
                    Exceptionally well accepted 
                  
                    Works well with others 
                  
                    Gets along satisfactorily 
                  
                    Has some difficulty working with others 
                  
                    Works poorly with others 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you describe their Judgment?
              
             
          
                
                
                
                  
                    Exceptionally mature in judgment 
                  
                    Above average in making decisions 
                  
                    Often makes the right decision 
                  
                    Often uses poor judgment 
                  
                    Consistently used bad judgment 
                  
                    I choose not to answer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Intern's Work Attendance was:
              
             
          
                
                
                
                  
                    Regular 
                  
                    Irregular 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Intern's Punctuality was:
              
             
          
                
                
                
                  
                    Regular 
                  
                    Irregular 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What are the Intern's strongest assets?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              In what areas should the Intern strive to improve?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Other thoughts or comments?