Internship Evaluation--Employer Student* First Last Internship Beginning Date* Date Format: MM slash DD slash YYYY Internship End Date* Date Format: MM slash DD slash YYYY Employer*The company or organization sponsoring the internshipWork Location*Supervisor InformationSupervisor Name* First Last Supervisor Title*Supervisor Email Supervisor Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PerformancePlease rate the student's performance based on comparisons with other students of comparable academic level; with other personnel assigned to the same or similar jobs; or with individual standards. 1 Star = Marginal 2 Stars = Below Average 3 Stars = Average 4 stars = Very Good 5 stars = Outstanding Technical Competence in mathematics, science, and engineering*OutstandingVery GoodAverageBelow AverageMarginalAbility to design/conduct experiments; analyze and interpret data*OutstandingVery GoodAverageBelow AverageMarginal Ability to design a system, component, or process*OutstandingVery GoodAverageBelow AverageMarginal Ability to function well on multi-disciplinary teams*OutstandingVery GoodAverageBelow AverageMarginal Ability to identify, formulate, and solve engineering problems*OutstandingVery GoodAverageBelow AverageMarginal Professional demeanor and ethical responsibility*OutstandingVery GoodAverageBelow AverageMarginal Oral and written communication skills*OutstandingVery GoodAverageBelow AverageMarginal Understanding of the impact of engineering solutions in a global and societal context*OutstandingVery GoodAverageBelow AverageMarginal Level of enthusiasm toward work and life-long learning*OutstandingVery GoodAverageBelow AverageMarginal Knowledge of contemporary issues*OutstandingVery GoodAverageBelow AverageMarginal Knowledge and application of modern engineering skills, techniques, and tools*OutstandingVery GoodAverageBelow AverageMarginal Ability to apply knowledge and practice*OutstandingVery GoodAverageBelow AverageMarginal Dependability, attendance, and punctuality*OutstandingVery GoodAverageBelow AverageMarginal Overall performance*OutstandingVery GoodAverageBelow AverageMarginal Strengths*What were the student's strengths (indicate special knowledge, skills, interests)?Improvement*Where could improvement be most profitable (i.e. special courses, further experience, communication skills, etc.)? What can the student do for self-improvement and what help should be provided?Has this evaluation been discussed with the student?* Yes No Affirmation* I hereby affirm that the information submitted by this electronic form is accurate and true.