Employer's Feedback Form
Company Name:
Your answer
Contact Name:
Your answer
Contact Number:
Your answer
Email Address:
Your answer
Telephone Number:
Your answer
Date:
MM
/
DD
/
YYYY
Name of Intern: *
Your answer
Program of Study *
Your answer
Period of Internship.
Your answer
Number of times absent:
Your answer
Number of times late.
Your answer
How would you rate your experience with the internship process? (This includes liaison staff, site visits, paperwork, etc).
What worked well?
Your answer
How could we improve the process?
Your answer
Are you willing to continue participating in the internship programme?
Is there a written document outlining work activities for interns?
Using the rating scale below, rate the intern by inserting the number that best reflects your opinion of the intern's activities.
5. Excellent
4. Very Good
3. Good
2. Average
1. Poor
Approach to work
Poor
Excellent
Response to authority
Poor
Excellent
Willingness to learn
Poor
Excellent
Ability to follow instructions
Poor
Excellent
Cooperation with co-workers
Poor
Excellent
Relationship with clients
Poor
Excellent
Willingness to assist
Poor
Excellent
Willingness to volunteer
Poor
Excellent
Knowledge of work assigned
Poor
Excellent
Quality of work
Poor
Excellent
Speed of work
Poor
Excellent
Working without supervision
Poor
Excellent
Deportment
Poor
Excellent
Total overall
Your answer
Assign a grade using this grid
A = (54-65).
B = (41- 53).
C = (28- 40).
D = (27-14).
E = (13-0).
Grade:
Your answer
Would you hire this student if a vacancy existed?
Thank you for your contribution.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service