Intern/Co-op Appraisal Form Clear Form INSTRUCTIONS: This form is to evaluate the performance of a student who has completed or is nearing completion of an internship or co-op at your organization as part of the College of Engineering's Experiential Education course. The immediate supervisor (or Internship/Co-op Coordinator) should evaluate the student objectively, comparing him/her with other students of comparable academic level, with other personnel assigned to the same of similarly classified jobs, or with individual standards. Student First Name*Student Last Name*Company Name*DepartmentSupervisor First Name*Supervisor Last Name*Supervisor's Title*Supervisor Email* Year and Semester of Internship*Enter yearSemester of Internship*FallSpringSummerSelect semesterEmployment Start Date* Date Format: MM slash DD slash YYYY Employment End Date* Date Format: MM slash DD slash YYYY Position Title*If there is no official title, enter "Intern" or "Co-op"Responsibilities*Please briefly describe the job. Include the main project or projects the student worked on, detail on the specific tasks and activities the student was responsible for, level of responsibility, nature of working relations, etc.Relationships With Coworkers*ExcellentVery GoodAverageBelow AveragePoorDependability*ExcellentVery GoodAverageBelow AveragePoorOverall Appraisal of Performance*ExcellentVery GoodAverageBelow AveragePoorRecommended areas for student's professional development:Has this report been discussed with the student?*YesNoCan a copy of this report be given to the student?*YesNo