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Thank you for participating in Austin Community College’s Internship Program. Your contribution is invaluable to the success of our students. This evaluation will provide valuable information as we assess the results of the student's internship. Your comments will help us continue to shape ACC's Internship Program, and ensure that we are sending prepared students to your site in the future.


Instructions to Employer:
Please evaluate the student’s work performance based on the characteristics and attributes listed below. This form should be completed by the individual who directly supervised the student’s work assignments.

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* 1. Employer/Organization Name

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* 2. Intern (student) Name

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* 3. Site Supervisor's Name

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* 4. Site Supervisor's Email

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* 5. Semester of Internship

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* 6. Year of Internship

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* 7. Was the intern offered a full-time position at the end of the internship?

Please answer the following questions regarding the student's affective traits (professional behaviors, motivation, and interpersonal qualities).

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* 8. The student/intern starts activities immediately.

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* 9. The student/intern respects the meaning of privileged/sensitive information.

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* 10. The student/intern maintains personal appearance as appropriate for the workplace.

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* 11. The student/intern is skillful in adapting to and working with others.

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* 12. The student/intern approaches assignments with confidence.

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* 13. The student/intern maintains an orderly work area.

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* 14. The student/intern replenishes supplies when needed.

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* 15. The student/intern willingly stays to complete or correct work.

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* 16. The student/intern searches for answers to questions in available time.

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* 17. The student/intern maintains/prepares satisfactory records.

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* 18. The student/intern follows established company procedures.

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* 19. The student/intern organizes their workload.

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* 20. Please list any additional affective skills unique to the occupation that the student demonstrated during the internship. For each skill, please indicate whether the student performs it well or if improvement is needed.

Please answer the following questions regarding the student's psychomotor skills.

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* 21. The student/intern completed routine tasks within acceptable limitations.

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* 22. The student/intern completed routine tasks within acceptable timeframes.

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* 23. The student/intern completed sophisticated tasks within acceptable limitations.

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* 24. The student/intern completed sophisticated tasks within acceptable timeframes.

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* 25. Please list any additional information you would like us to know regarding the student's "hands-on" skills unique to the occupation.

Please answer the following questions regarding the student's cognitive skills.

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* 26. The student/intern transfers knowledge of principles and procedures to new techniques.

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* 27. The student/intern recognizes tasks that are beyond their capacity.

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* 28. The student/intern applies classroom learning to the workplace setting.

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* 29. The student/intern interprets charts, graphs, and data correctly.

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* 30. The student/intern troubleshoots equipment.

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* 31. The student/intern identifies and attempts to solve discrepancies in systems, results, or information.

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* 32. Please list any additional information you would like us to know regarding the student's cognitive skills unique to the occupation.

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* 33. Do you have any other comments regarding this intern's performance or suggestions for improving our internship program?

Thank you for participating in Austin Community College's Internship Program
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