Cooperative Education Employer Evaluation &
Co-Op Ed Student of the Year Nomination Form

Instructions to Internship Supervisor: Frequent communication between the student and internship supervisor is encouraged to enhance student performance and facilitate development during the work term. Please complete this form and discuss it with the student.

Today's date:    (use dashes: MM-DD-YY) Student name:    Internship dates: From    (MM-DD-YY) to    (MM-DD-YY) Employer:    Supervisor Name:    Phone:      Email:   Address:    City/State/Zip:    Work Place Competencies Did Not Meet Standards Met Standards Exceeds Standards Not Applicable Student discussed development & completion of learning outcomes/goals. Demonstrated ability to apply academic concepts and theory to work setting Increased understanding & knowledge of structure, mission & purpose of internship agency Brought adequate academic preparation to the internship Displayed effective verbal communication and listening skills; shared information in a timely manner; asked relevant questions for clarification Took responsibility and was a self-starter Solicited feedback on work and performance Adapted to changing work assignments and situations Anticipated the needs of others and provided assistance Exhibited commitment throughout the entire internship Demonstrated dependability and punctuality Managed resources and time effectively Reacted constructively to criticism Demonstrated professionalism in interactions with client, customer, coworker Describe your interaction with the student's faculty supervisor   If you had a position available with your organization, would you offer it to your intern? Yes No Have you already offered your intern a position with your organization? Yes No   Cooperative Education Student of the Year Nomination Would you like to nominate your intern for Co-Op Ed Student of the Year? Yes No Instructions: Please complete the following section to nominate your intern for Co-Op Ed Student of the Year Give specific examples of how your student intern has performed above and beyond expectations during this internship.   Describe Achievements/Contribution to Organization:   Additional Comments                                                    Please email the Cooperative Education Specialist with questions and/or concerns or phone 406-657-1717.

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