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INTERNSHIP PERFORMANCE EVALUATION FORM

INTERNSHIP PERFORMANCE EVALUATION FORM

Intern’s Details

Name:                                      ___________________________

Evaluation Period:                  _________________________

Phone:                                     ____________________________

E-mail:                                     ____________________________

University Registration #:     _______________________

 

On-site Supervisor’s Details

Name:                                      ___________________________

Organization Name:               ___________________________

Designation:                            ___________________________

Phone/ Fax:                            _______________________

E-mail:                                     ___________________________

 

Quality of Work

  1. Gets to internship on time and has regular attendance

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

  1. Has a positive attitude towards work

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

  1. Dresses appropriately for the work setting

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

  1.  Stays with tasks until completed

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

  1.  Completes tasks and assignments accurately

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

  1. Takes responsibility for and is committed to work

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

 

Communication Skills & Interpersonal Effectiveness1. 1.Communicates clearly and concisely

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

2. Listens effectively to and understands what others are saying

□ Excellent     □ Very Good      □ Good           □Adequate □ Marginal

3. Interacts well with organization’s staff

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

4. Deals effectively with uncooperative or difficult people

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

 

Problem-Solving and Decision-Making

1. Thinks in a disciplined, logical manner

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

2. Analyzes problems effectively

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

3. Is able to solve problems

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

4. Thinks of creative ideas and innovative actions

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

5. Takes initiative, where appropriate, as problems arise

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

 

Planning and Organization

1.Sets realistic work goals for assigned tasks

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

2. Manages time and tasks effectively

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

3. Meets deadlines

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

4. Follows directions

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

 

Learning & Potential Growth

1. Takes initiative to seek out new learning experiences

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

2. Seeks out answers to questions, when reasonable to do so

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

3. Seeks feedback for self-improvement

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

4. Accepts constructive criticism non-defensively

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

5. Works to strengthen identified weaknesses

□ Excellent        □ Very Good      □ Good           □Adequate □ Marginal

 

Suggestions/Any other comment:

_______________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Date of Evaluation: ______     Official Stamp & Signature

 

 

See Also: Internship Report Format

Guidelines for Internship Results