Internship Evaluation Form

Internship/Experience Start Date(Required)
End Date(Required)

Please rate the following aspects of your internship experience on the basis of this scale:

1) Unsatisfactory (Unacceptable - does not meet the minimum expectations)
2) Fair (Seldom demonstrates this ability/rarely meets expectations)
3) Good (Sometimes demonstrates this ability/meets expectations)
4) Exceptional (Always demonstrates this ability/consistently exceeds expectations)
NA) Not Applicable to this internship experience.

Attendance/Punctuality(Required)
Appearance(Required)
Communication skills(Required)
Ability to follow directions(Required)
Teamwork(Required)
Social interaction(Required)
Completion of assigned tasks(Required)
Quality of work(Required)
Cooperation(Required)
Problem solving(Required)
Creativity(Required)
Initiative(Required)
Computer skills(Required)
Stress management(Required)
Professional behavior & attitude(Required)
Self-motivated approach to work(Required)

Note to student: You are responsible for submitting this form to your supervisor during your initial meeting. Failure to do so may result in a delay of completion of the graduation requirement. Please remember to keep track of your schedule and hours.

Note to supervisor: We appreciate your time and investment in our students. Please complete and return this form via email when student has completed his/her work internship experience.

Please contact us if you have any questions, concerns, or would like to discuss anything regarding our students.

Date
Date(Required)