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Please provide the following information.

Student Name

Internship Semester and Year

Site Supervisor

Who is the student's faculty internship advisor?

Please provide the following information.

Name of internship site

Address

Address 2

City

State

Postal code

The following questions will provide feedback about the student's performance during the internship. This form will not be shared with the student.

If a question is not applicable to the internship, enter N/A.

If a question is not applicable to the internship, enter N/A.
	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student demonstrated an understanding of the requirements of the internship.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student complied with the agreed-upon plan of work and work schedule and was punctual and reliable.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student demonstrated an ethical and professional attitude.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student demonstrated an understanding of the organization's purpose and mission.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student demonstrated an understanding of the technologies within the organization.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student communicated well, and worked effectively with, staff, other personnel, and patrons/clients.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student was knowledgeable and inquisitive concerning the relationship between theory and practice.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A
The student demonstrated initiative in the development and completion of projects and work assignments.	Strongly agree	Somewhat agree	Neither agree nor disagree	Somewhat disagree	Strongly disagree	N/A

Overall, was the student's performance Exemplary, Satisfactory, or Unsatisfactory?

Exemplary
Satisfactory
Unsatisfactory

How well did the student's SLIS coursework prepare the student to complete this internship?

Do you have comments on problems with, or can you make suggestions about improvements to,

the SLIS internship process?

Please type your full name as a signature for this evaluation.