Internship Evaluation--Employer Student* First Last Internship Beginning Date* MM slash DD slash YYYY Internship End Date* 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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.