Agriculture - Cooperator's Final Evaluation of Student

Student's Name *

Date *

Cooperators Name *

Cooperators Title *

Cooperators Institution

Cooperators Institution City

Cooperators Institution State

Rating of Student Characteristics
Please give one score per row using the 1 to 5 scale.

Personal Characteristics: Interest in Learning *

Personal Characteristics: Judgment *

Personal Characteristics: Enthusiasm *

Personal Characteristics: Courtesy *

Personal Characteristics: Personal Appearance *

Employee Traits: Speed of Completing Responsibilities *

Employee Traits: Ability to Perform without Supervision *

Employee Traits: Willingness to Receive Guidance *

Employee Traits: Relationship with Other Employees *

Employee Traits: Dependability and Reliability *

Employee Traits:Thoroughness in Completing Tasks *

Beginning Wage or Salary *

Final Wage or Salary *

In terms of subject matter knowledge, how prepared was the student in regards to the following subject categories:

Please provide 4-5 lines each to answer the following questions.

What characteristics did you like most about this student? *

In what ways can this student improve? *

Suggestions for improving the Internship Program (selection of student, specification of tasks to be performed, etc.). *

Would you be willing to participate in the Internship Program next year? *

YesNo

Why or why not would you be willing to participate in the Internship Program next year? *

Consent Form

Please check whether you "do" or "do not" provide your consent for release of the Cooperator's Final Evaluation of Student form directly to the student. If you choose to provide consent for release of the form to the student, the student will be able to access the form directly. If you do not provide consent, only the major strengths and weaknesses of the student will be relayed to them verbally, and they will not be able to access your evaluation form directly.

Consent Form *

I "DO" provide my consent for the release of the Cooperator's Final Evaluation of Student Form to the student.I "DO NOT" provide my consent for the release of the Cooperator's Final Evaluation of Student Form to the student.