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Intern Evaluation
Intern Evaluation Form (for Supervisors)
Required fields are marked with an asterisk (*).
Internship Details
Start Date
End Date
Student's Name
Institution or Organization Name
Supervisor's Name
Supervisor's Title
Supervisor's Email Address
Main duties/projects assigned during internship period
Evaluation
Dependability:
Reports for work on time and completes shift
Superior
High
Average
Low
Failure
If unable to report, calls in and makes up time
Superior
High
Average
Low
Failure
Dresses appropriately for position
Superior
High
Average
Low
Failure
Uses equipment for internship work only, not personal use
Superior
High
Average
Low
Failure
Interpersonal Relationships
Is courteous and respectful to staff, visitors, volunteers & colleagues
Superior
High
Average
Low
Failure
Cooperates with staff and other interns/volunteers
Superior
High
Average
Low
Failure
Works in a businesslike, serious manner
Superior
High
Average
Low
Failure
Skills and growth:
Willingness to learn new tasks
Superior
High
Average
Low
Failure
Attends training sessions as required
Superior
High
Average
Low
Failure
Assimilates and uses "on-the-job" training
Superior
High
Average
Low
Failure
Follows directives well
Superior
High
Average
Low
Failure
Asks for help when needed
Superior
High
Average
Low
Failure
Listens well and communicates clearly
Superior
High
Average
Low
Failure
Performs and completes assigned tasks
Superior
High
Average
Low
Failure
Show initiative and motivation in his/her work
Superior
High
Average
Low
Failure
Overall Evaluation
How would you rate this intern's performance
Excellent
High
Average
Low
Failure
Leave this field blank
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