RUL/SC&I LIS INTERNSHIP/RESIDENCY EVALUATION FORM
Intern's Name _________________________________
% Time ____________________
Participating Unit ____________________________________________
Recommendation for renewal of appointment
YES _______
Statement of Principal Assignment(s) and Candidate's CV attached.
1. Internship Site/Liaison
2. Internship Site/Liaison
3. Internship Site/Liaison
4. Internship Site/Liaison
NO ______
-------------------------------------------------------------------I. Committee:
(circle the appropriate terms)
Committee
Number voting YES _________
Number voting NO __________
Number Abstaining __________
recommends
Renewal
does not recommend
Number in attendance _______
Present at the meeting were the following faculty members:
____________________
Date of Meeting
_______________________________________________
Committee Chair
--------------------------------------------------------------------II. Unit Director's comment:
(circle the appropriate terms)
Unit Director
recommends
Renewal
does not recommend
_______________________________________________________
Signature of Unit Director
Date
-------------------------------------------------------------------III. Vice President for Information Services and University Librarian's Comment:
(circle the appropriate terms)
Vice President for Information Services and University Librarian
recommends
Renewal
does not recommend
_____________________________________________________________________
Signature of Vice President for Information Services and University Librarian
Date