Saratoga Town Court

Internship Program

 

Student’s name_________________________Coordinator________________________

 

School ______________________________   school phone # _____________________

 

Date started program ____________________ ending date ________________________

 

Appearance      0          1          2          3          4 __________________________________

 

Attendance       0          1          2          3          4 __________________________________

 

Attitude            0          1          2          3          4___________________________________

 

Initiative            0          1          2          3          4 __________________________________

 

Organization     0          1          2          3          4 __________________________________

 

Work w/ Def.   0          1          2          3          4 __________________________________

 

Academics       0          1          2          3          4 __________________________________

 

Ratings: 0 – unsatisfactory / 1 – needs improvement / 2 – meets standards / 3 – usually exceeds standards / 4 – outstanding performance, significantly exceeds standards

 

Rater’s comments: ________________________________________________________

 

 

 

 

 

 

Intern comments:  ________________________________________________________

________________________________________________________________________

 

 

 

 

 

 

Rater: (signature) _________________ Intern: (signature) ___________________date __________

 

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