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Internship Supervisor Evaluation Form
2.
Please answer the following survey questions:
1.
Intern Name:
2.
Major:
3.
Internship Site:
4.
Supervisor:
5.
Degree to which Intern met stated learning objectives:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
6.
Work ethic:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
7.
Quality of work:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
8.
Oral communication skills:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
9.
Written communication skills:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
10.
Integrity:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
11.
Analytical and problem solving skills:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
12.
Computer skills:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
13.
Decision making:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
14.
Interpersonal/Teamwork Skills
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
15.
Personal appearance:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
16.
Dependability:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
Comments:
17.
Overall rating:
1-Did not meet expectations
2-Met most expectations
3-Met all expectations
4-Exceeded expectations
5-Greatly exceeded expectations
18.
Please make any additional comments which will help the intern's development:
19.
I have discussed this evaluation with the intern:
Yes
No