Academic Internship Reference Check Form
Please fill out the following form regarding the internship candidate.
Referee Information
Name
Position / Title
Organization
Email
Phone
Candidate Information
Candidate Name
Relationship to Candidate
How long have you known the candidate?
Evaluation
Criteria
Excellent
Good
Average
Poor
Not Observed
Work Ethic
Communication Skills
Teamwork
Initiative
Strengths and Skills
Areas for Development
Additional Comments
Do you recommend the candidate for the internship?
Yes
With Reservation
No