Full Water Service Restored at Southeast

Southeast Missouri State University

Student’s Name      
 
Intern/Practicum Supervisor’s Name        
 
Name of Organization      
 
Review Date      
 
 
 
Please indicate on the scale below your self-evaluation on the traits listed.
 
5=Outstanding   4=Good   3=Average   2=Mediocre   1=Poor   0=No Opinion 
 

Traits  5  4  3  2   1   0 
Promptness   (   ) (   ) (   ) (   ) (   ) (   )
Dependability   (   ) (   ) (   ) (   ) (   ) (   )
Professional Appearance   (   ) (   ) (   ) (   ) (   ) (   )
Initiative   (   ) (   ) (   ) (   ) (   ) (   )
Maturity   (   ) (   ) (   ) (   ) (   ) (   )
Self-Confidence  (   ) (   ) (   ) (   ) (   ) (   )
Time Management  (   ) (   ) (   ) (   ) (   ) (   )
Written Communication Skills   (   ) (   ) (   ) (   ) (   ) (   )
Oral Communication Skills  (   ) (   ) (   ) (   ) (   ) (   )
Ability to Work with Others  (   ) (   ) (   ) (   ) (   ) (   )
Acceptance of Criticism  (   ) (   ) (   ) (   ) (   ) (   )
Overall Performance   (   ) (   ) (   ) (   ) (   ) (   )

 

 

  1. Did your supervisor(s) provide you with learning opportunities or make an adequate effort to train you? Explain and illustrate your answer.

     

     

     

  2. Did you feel satisfied with the variety and nature of experiences of your internship/practicum?  Explain. 

     

     

     

  3. What do you consider the most beneficial aspect of this internship/practicum?

     

     

     

  4. What do you consider the least beneficial aspect of this internship/practicum?

     

     

     

  5. Would you recommend that this company be retained as a participant in the internship/practicum program?  Explain. 

     

     

     

  6.  What recommendation(s), if any, would you offer to students who might be interested in this field as a career?

     

     

     

  7. What are three things you learned about yourself during the internship?

  

 

   

 

     8.   What are three things you learned about your future career?

 

 

 

 

    9.   What are three things you would have done differently during the internship?

 

 

 

 

   10.  What are three things you would have done to have better prepared for the internship?

 

 

 

   11.  What are three things you are the most poud of about your work, relationships, and accomplishments during the internship?

 

 

 

 

 

 

Student’s Signature ____________________________________ Date _________

 

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