UNIVERSITY OF ILLINOIS AT CHICAGO
DEPARTMENT OF CRIMINAL JUSTICE
NOTE: To be completed and signed only by the person(s)
supervising the intern.
Please share this evaluation with the intern.
Student’s Name:____________________________________________________________
Organization/Agency:_________________________________________________________
Field Supervisor:______________________ Faculty Advisor:__________________________
Objectives of intern’s assignment(s):
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Please evaluate the intern on your above stated objectives.
| STUDENT PERFORMANCE LEVEL | A | B | C | D | E |
| Cooperation—Working with and relating to associates and supervisors | |||||
| Judgement—Ability to evaluate situations and make decisions | |||||
| Initiative—General resourcefulness and imagination | |||||
| Dependability—Attendance, punctuality, productivity | |||||
| Knowledge of job—Understanding of his/her duties | |||||
| Reaction to criticism—Student’s ability to react to and learn from criticism | |||||
| Growth—General growth and progress | |||||
| Overall rating |
ADDITIONAL COMMENTS:
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I CERTIFY THAT THE ABOVE NAMED INTERN SUCCESSFULLY COMPLETED A MINIMUM OF 96 HOURS OF FIELD EXPERIENCE IN THIS AGENCY.
Supervisor’s signature_____________________________________ Date ________________
Student’s signature_______________________________________ Date
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