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<body>&lt;h2&gt;CMIS 587 INTERNSHIP EVALUATION FORM&lt;/h2&gt;&#13;
&lt;p&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;To the Student: &lt;/strong&gt; Complete your portion of this form.&amp;nbsp; Take the form to your internship company supervisor at the end of the semester.&amp;nbsp; Ensure that the form is returned to the MS CMIS Program Director no later than Friday of the week before final examination week.&lt;/p&gt;&#13;
&lt;p&gt;Your Name:______________________________________ Student ID:___________________&lt;/p&gt;&#13;
&lt;p&gt;Semester (circle one):&amp;nbsp; Fall, Summer, Spring&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Year:__________&lt;/p&gt;&#13;
&lt;p&gt;Internship Company:______________________________________________________&lt;/p&gt;&#13;
&lt;p&gt;Internship Supervisor:_____________________________________________________&lt;/p&gt;&#13;
&lt;hr /&gt;&#13;
&lt;p&gt;&lt;strong&gt;To the Internship Company and Internship Supervisor: &lt;/strong&gt; This is a request for you to complete your evaluation of the student named above for the student's work this academic term as an intern in your department.&amp;nbsp; Please forward the evaluation by U.S. Mail in a sealed envelope with company letterhead and/or logo.&amp;nbsp; &lt;br /&gt;&lt;br /&gt;&lt;em&gt;Mailing address:&amp;nbsp; &lt;/em&gt;&lt;br /&gt;Dr. Jo Ellen Moore &lt;br /&gt;MS CMIS Program Director&lt;br /&gt;SIUE Campus Box 1106&lt;br /&gt;Edwardsville, IL&amp;nbsp; 62026-1106.&amp;nbsp;&lt;/p&gt;&#13;
&lt;p&gt;&lt;em&gt;Thank you for sponsoring this internship.&lt;/em&gt;&lt;/p&gt;&#13;
&lt;p&gt;Please evaluate the student using the 1 to 5 scale where 5 is the highest score and 1 is the lowest score.&amp;nbsp; The numeric evaluations correspond to letter grades of 5=A, outstanding work;&amp;nbsp; 4=B, above average work;&amp;nbsp; 3=C, average work; 2=D, below average work needing improvement; 1=Failing work. &lt;br /&gt;&lt;br /&gt;&lt;/p&gt;&#13;
&lt;table border="1" width="97%" cellpadding="1" cellspacing="2"&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;&lt;strong&gt;Evaluation Criteria&lt;/strong&gt;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&lt;strong&gt;&amp;nbsp;Score 1 to 5&lt;/strong&gt;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;1.&amp;nbsp; Attendance, timeliness in arriving for work, completed expected number of hours of work.&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;2.&amp;nbsp; Quality of work completed.&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;3.&amp;nbsp; Quantity of work completed.&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;4.&amp;nbsp; Ability to apply learned skills to the internship work environment including the ability to learn new skills and use them successfully on the job.&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;5.&amp;nbsp; Appearance in terms of the requirements for dress and deportment within your department.&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
    &lt;tr&gt;&#13;
        &lt;td width="962"&gt;6.&amp;nbsp; Overall, I would rate&amp;nbsp; this student's internship performance as:&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
        &lt;td width="139"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/td&gt;&#13;
    &lt;/tr&gt;&#13;
&lt;/table&gt;&#13;
&lt;p&gt;&lt;/p&gt;&#13;
&lt;p&gt;Provide any comments that you deem pertinent to the evaluation.&amp;nbsp; You may also wish to provide recommendations for academic training that you would have liked for this student to have completed prior to the internship.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;/p&gt;&#13;
&lt;p&gt;Supervisor Signature:_________________________________ Date:__________________&lt;/p&gt;&#13;
&lt;p&gt;Supervisor Name:______________________________ Work Phone:__________________&lt;/p&gt;&#13;
&lt;p&gt;THANK YOU FOR YOUR SUPPORT OF OUR ACADEMIC PROGRAM!&lt;/p&gt;&#13;
&lt;p&gt;&lt;/p&gt;&#13;
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