Exit Evaluation Form Academic Internship Program University of California, San Diego 9500 Gilman Drive, 0442 La Jolla, CA 92093-0442 Phone: (858) 534-4355 Fax: (858) 534-1707 http://aip.ucsd.edu Supervisor: Due Date: Thursday of 10th week Student: Student ID# A ___ ___ - ___ ___ - ___ ___ ___ ___ Internship Quarter/Year: Number of Units: Organization: Student must ask the supervisor to complete and discuss this evaluation. It is the student's responsibility to return this form to the Academic Internship Program (by mail, in person or by fax at 858-534-1707). We must have this form in our office by the due date. This form is a REQUIREMENT to determine your final grade, and is used in the process of picking our interns of the quarter. Supervisor Signature: Date: How well did the student assist your organization? What skills and abilities did the student demonstrate? What skills need improvement? Overall Performance:
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