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Home > Dietetic Internship > Forms > 2019 Regina Gottlieb Scholarship Evaluation Form

2019 Regina Gottlieb Scholarship Evaluation Form

Please rate the dietetic intern who has been under your supervision on the following qualities. A point system will be used to rate each quality. Rating codes are:

5: Outstanding

4: More than satisfactory

3: Satisfactory

2: Needs improvement

1: Unsatisfactory

  5 4 3 2 1
Work Organization
  5 4 3 2 1
Initiative
  5 4 3 2 1
Responsibility
  5 4 3 2 1
Adapatability
  5 4 3 2 1
Teamwork
  5 4 3 2 1
Career Potential