10/07
MISSISSIPPI STATE UNIVERSITY
Minor in Leadership Studies
Internship Evaluation Form
INSTRUCTIONS:
The immediate supervisor will evaluate the student objectively, COMPARING WITH OTHER STUDENTS OF
COMPARABLE ACADEMIC LEVEL, with other personnel assigned the same or similarly classified jobs, or with
individual standards.
Employer's Name:
_________________________________________________
Student's Name:
___________________________________________________
Note: An entry MUST be made for EACH of the items below.
RELATIONS WITH OTHERS
ATTITUDE
Exceptionally well accepted
Outstanding in enthusiasm
Works well with others
Very interested and industrious
Gets along satisfactorily
Average in diligence and interest
Has some difficulty interacting with others
Somewhat indifferent
Interacts very poorly with others
Definitely not interested
COMMUNICATION SKILLS
DEPENDABILITY
Excellent
Completely dependable
Very good
Above average in dependability
Average
Usually dependable
Below Average
Sometimes neglectful or careless
Very poor
Unreliable
ATTENDANCE:
PUNCTUALITY:
(Did student complete required hours?)
Regular
Irregular
Regular
Irregular
Outstanding
Very Good
Average
Marginal
Unsatisfactory
Grade = A
Grade = B
Grade = C
Grade = D
Grade = F
OVERALL RATING
What traits may help or hinder this student's advancement?
Additional Information or Comments
This report has been discussed with the student:
Yes
No
Internship Supervisor:__________________________________
Date:_______________
Please sign and return to the:
Departmental Leadership Studies Advisor at the following address:
______________________________________________
______________________________________________
______________________________________________
______________________________________________
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