Employer's Evaluation of :* First Last Work Period from: MM slash DD slash YYYY Work Period to: MM slash DD slash YYYY Semester:SpringSummerFallEmployer Supervisor Name: First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhonePlease select the appropriate numbers below to indicate levels of performance based on comparisons with other students of comparable academic level; with other personnel assigned to the same or similar jobs or with the individual standards. SCALE: Outstanding = 5; Good = 4; Average = 3; Below Average = 2; Margin = 1; Unable to Assess = 0Technical competence in mathematics, science and engineering* 5 4 3 2 1 0 Ability to design/conduct experiments; analyze and interpret data* 5 4 3 2 1 0 Ability to design a system, component, or process* 5 4 3 2 1 0 Ability to function well on multi-disciplinary teams* 5 4 3 2 1 0 Ability to identify, formulate, and solve engineering problems* 5 4 3 2 1 0 Professional demeanor and ethical responsibility* 5 4 3 2 1 0 Oral and written communication skills* 5 4 3 2 1 0 Understanding of the impact of engineering solutions in a global and societal context* 5 4 3 2 1 0 Level of enthusiasm toward work and life-long learning* 5 4 3 2 1 0 Knowledge of contemporary issues* 5 4 3 2 1 0 Knowledge and application of modern engineering skills, techniques, and tools* 5 4 3 2 1 0 Ability to apply knowledge to practice* 5 4 3 2 1 0 Dependability, attendance and punctuality* 5 4 3 2 1 0 Overall performance* 5 4 3 2 1 What are the student's strong points in terms of his/her special knowledge, skills, interests or abilities?(Please provide a short paragraph highlighting the student's special knowledge, skills, interests or abilities displayed while interning at your company.)Where could improvements be most profitable? What can student do for self-assistance and what help should be provided?(i.e. special courses, further experience, change of attitude, etc)Has this report been discussed with the student? Yes No