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 __________