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Evaluation Form

Supervisor's Evaluation of Intern

Intern's Name:

Dates of Internship:
From: to:

Company/Organization:

Evaluator:

Title:

Telephone:

E-mail:

In order to validate and ensure that university credit is given to the intern, please indicate on the scale below your evaluation of your intern during his/her semester with your organization. Mail or fax this form directly to Sandra Wu by . Thanks!

Please use the following rating (1-5) to assess your intern in the performance of his/her responsibilities:

1 = Exceptional 2 = Very Good 3 = Good 4 = Fair 5 = Improvement Needed NA = Not Applicable

Characteristic
1
2
3
4
5
NA
1. Is dependable
2. Is creative/innovative
3. Ability to work independently

4. Is willing to accept direction, criticism and suggestion
5. Ability to work with others as a team
6. Meets deadlines
7. Is able to contribute to the organization
8. Demonstrates appropriate level of required skills
9. Shows initiative
10. Promise of success in the profession
11. Appreciates internship experience
12. Positive attitude toward learning
13. Readily applies instruction
14. Overall performance

15. Relative to the tasks assigned, what were the intern's strengths and weaknesses?

16. If you had a position open, would you consider hiring the intern for the position?

Yes
No
Undecided

17. Other comments:

 
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