Evaluation Form

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OFFICE OF THE VICE CHANCELLOR

Mailing Address: ICT-U Cameroon, P.O. Box 526, Yaounde, Cameroon


ICT-U USA (Admin.): 6425Renoir Ave, Baton Rouge, LA 70806, USA
Email: vc@ictuniversity.org
Website: http://www.ictuniversity.org
Approval No: 02/04505/N/MINESUP/DDES/ESUP/SAC/ebm Tel: +237 677745446
of 21st September 2012
14/0406/MINESUP/SG/DDES DU of 4th July 2014

Student Intern Performance Evaluation

Term of Internship: ___ Sum ___ Fall ___ Spring Date of Evaluation: _______________________

Student Name: ________________________________________________________________________

Organization Name: ___________________________________________________________________

Supervisor: __________________________________________________________________________

Supervisor email/phone: ____________________________________ / __________________________

Please attach: • Internship Job Description

• Supervisor Comments (i.e. strengths, areas for improvement, etc)

Please rate the intern’s performance in the following areas:

Rating Scale: 1 = Excellent - far exceeded expectations

2 = Good - met and exceeded expectations

3 = Satisfactory - met expectations

4 = Fair - somewhat met expectations, but needs improvement

5 = Unsatisfactory - did not meet expectations

1) Oral communication 1 2 3 4 5

2) Written communication 1 2 3 4 5

3) Initiative 1 2 3 4 5

4) Interaction with staff 1 2 3 4 5

5) Attitude 1 2 3 4 5

6) Dependability 1 2 3 4 5

7) Ability to learn 1 2 3 4 5

www.ictuniversity.org
OFFICE OF THE VICE CHANCELLOR
Mailing Address: ICT-U Cameroon, P.O. Box 526, Yaounde, Cameroon
ICT-U USA (Admin.): 6425Renoir Ave, Baton Rouge, LA 70806, USA
Email: vc@ictuniversity.org
Website: http://www.ictuniversity.org
Approval No: 02/04505/N/MINESUP/DDES/ESUP/SAC/ebm Tel: +237 677745446
of 21st September 2012
14/0406/MINESUP/SG/DDES DU of 4th July 2014

8) Planning and organization 1 2 3 4 5

9) Professionalism 1 2 3 4 5

10) Creativity 1 2 3 4 5

11) Quality of work 1 2 3 4 5

12) Productivity 1 2 3 4 5

13) Appearance 1 2 3 4 5

14) Adaptability to organization’s culture/policies 1 2 3 4 5

15) OVERALL PERFORMANCE 1 2 3 4 5

COMMENTS

_______________________________ __________________
Signature and Stamp of Organization Date

www.ictuniversity.org

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