Your Name: _________________________________________________
Date: __________________________________
Organization: _______________________________________________
Semester/Year: ________________________
Supervisor: __________________________________________________
Location: ______________________________
Please rate the following aspects regarding your performance during the internship experience on the basis of this scale: 1: Poor 2: Fair 3: Good 4: Excellent
Competence in the Job Decision-making skills Organizational skills Problem-solving skills Productivity Initiative
Professionalism 1 1 1 1 1
2 2 2 2 2
3 3 3 3 3
4 4 4 4 4
1 1 1 1 1 1 1
2 2 2 2 2 2 2
3 3 3 3 3 3 3
4 4 4 4 4 4 4
Interpersonal Relations Staff relations Client/Customer relations Empathy Cooperation Friendliness Verbal communication Written communication
Personal appearance Attitude Punctuality Dependability Confidentiality Adaptability
1 1 1 1 1 1
2 2 2 2 2 2
3 3 3 3 3 3
4 4 4 4 4 4
1 1 1 1 1 1 1
2 2 2 2 2 2 2
3 3 3 3 3 3 3
4 4 4 4 4 4 4
Personal Attributes Creativity Enthusiasm Persistence Assertiveness Stability Self-motivation Desire to learn
Your Strengths:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Suggestions for Improvement:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Noteworthy Observations / Specific Assignments:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
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