1. Please answer the following survey questions:

1. Intern Name:

2. Major:

3. Internship Site:

4. Supervisor:

5. Degree to which Intern met stated learning objectives:

6. Work ethic:

7. Quality of work:

8. Oral communication skills:

9. Written communication skills:

10. Integrity:

11. Analytical and problem solving skills:

12. Computer skills:

13. Decision making:

14. Interpersonal/Teamwork Skills

15. Personal appearance:

16. Dependability:

17. Overall rating:

18. Please make any additional comments which will help the intern's development:

19. I have discussed this evaluation with the intern:

T