Rider University - Employer Externship Evaluation Form

Fields marked with an asterisk (*) are mandatory

*Contact:
*Title:
*Company:
*Dept:
*Address:
*City:
*State:
*Zip:
Email:
Web Address:	webaddress
*Phone (Please include area code):
Fax (Please include area code):
*Were you contacted by a Rider University student for an Externship?	Yes No
*Did a Rider University student receive an Externship with you during the week of January 15, 2007 to January 19, 2007 (Flexible 1 to 5 days)?	Yes No
*Student's Name:
*Class Year:
*Major:
*Please evaluate the Rider student:	Satisfactory Unsatisfactory
Additional Comments:
*Would you be willing to host a Rider University student for an Externship next year?	Yes No

When you are satisfied, please click