TARLETON STATE UNIVERSITY

GEOSCIENCES INTERNSHIP PROGRAM

Date ___________________________

_________________________________________ _____________________________________

(Student) ( Agency or Company)

Rating: A – Excellent D – Below Average

B – Above Average F – Unsatisfactory

C – Average

Attendance _______________________________________________________________________

Punctuality _______________________________________________________________________

General Attitude ___________________________________________________________________

Toward Job Superiors _________________________________________________________

Toward Other Employees ______________________________________________________

Toward Criticism _____________________________________________________________

Initiative _________________________________________________________________________

Quality of Work ____________________________________________________________________

Comments or suggestions for improvement of program:* ___________________________________

________________________________________________________________________________

________________________________________________________________________________

Signed: ____________________________________

(Representative of the Sponsor)

Please return this form by ______________to: Tarleton State University

Chemistry & Geosciences Department

Box T-0540, Stephenville, TX 76402

*If you prefer to make your comments verbal rather than written, please call (254) 968-9143.