Student Name:___________________________________________________________
Agency:_________________________________________________________________
Agency Supervisor:________________________________________________________
Period Covered (month/day to month/day)_____________________________________
1 2 3 4 5
Interest: Did the student
* take his/her internship seriously?
* show up for work on time?
* show sustained interest in all duties?
* ask questions and discuss problem areas?
Performance: Did the student
* display ability for the assigned work?
* cooperate with supervisor and co-workers?
* show ability to learn new skills and knowledge?
Judgment: Did the student
* exercise common sense?
* understand explanations easily?
Social Adaptability: Did the student
* conduct himself/herself properly with the public?
* appear properly dressed and groomed?
* show tact and courtesy?
* display poise and self-confidence?
Temperament: Did the student
* exercise self-control?
* get along well with others?
Intellectual Honesty: Did the student:
* appear receptive to criticism and suggestions?
* appear objective and able to admit errors?
WEBER STATE UNIVERSITY
CRIMINAL JUSTICE DEPARTMENT
FIELD EXPERIENCE: STUDENT PROGRESS REPORT
Please returned this completed and signed form to your Internship Director by the date
specified in your syllabus.
1 = Unsatisfactory - 5 = Outstanding
Time involved:
Approximately how many hours did this student volunteer with your Agency?
Grade:
Your evaluation of this student's performance will account for 30% of the Final Grade.
On the following scale, please circle the grade you believe this student has earned.
(On a scale of 0-35 points)
Letter Grade: A B C D E
Points that may be earned towards the Final Grade: 35-30 29-25 24-20 19-15 14-0
Please make any comments or observations you feel are pertinent concerning this
student's performance:
___________________________________________ ________________
(Please attach a copy of your business card if available)
Number of Hours:___________________
Signature of Supervisor
Date