Note: In order for us to give your intern credit for internship, we need your prayerful and careful evaluation of performance while under your supervision. Please complete the evaluation form. Your written comments are particularly helpful in placement counseling with the student. Thank you for your help.

Name of Intern:____________________________ Date:____________________
Name of Supervisor:_________________________________________________
Name of Church/Organization:_________________________________________
Mailing Address:____________________________________________________
_________________________________________e-mail___________________
Supervisor's Phone Number:___________________________________________

Please use the following method for your appraisal:
Place a mark on the line where you would rank this student between #5 (Indicating the highest level of this quality or ability) and #1 (Indicating the lowest level of this quality or ability). Circle the N/A if this category does not apply to this internship.

Has the intern followed your planned course of training?	5______________1 N/A
Considering the level of experience and maturity, has the intern carried out your assignments satisfactorily?	5______________1 N/A
Did you feel that the intern came prepared for those assignments?	5______________1 N/A
Has the intern related well to the people?	5______________1 N/A
Is the intern able to make practical application of spiritual truth?	5______________1 N/A
Does the intern's performance indicate the presence of an aptitude for minstry?	5______________1 N/A

Underline those words which best describe the student's attitude:
    apathetic, arrogant, confident, enthusiastic, hostile, humble, pessimistic, positive, sympathetic
Underline those words which best describe the student's character.
    diligent, disciplined, evasive, honest, lazy, reliable, sincere, spiritual, undependable

What achievements can you commend?




Can you suggest areas that need improvement?




Please use this space for written comments which you would like to share with us. These will help us to help the intern.

Please return completed form to:

(Supervisor) Manhattan Christian College 1415 Anderson Manhattan, KS  66502