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Sample Evaluation Form
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Student Name:

Internship Start Date:

Title of Internship:

Internship End Date:

 

Supervisor: Date of Evaluation:

Department: Number of completed hours:

Please evaluate the intern by using the following rating system:

(5) Outstanding, (4) Very Good, (3) Average, (2) Below average, (1) Poor

 

Performance: Rating:

(Did the student complete the projects in a timely fashion? Describe their quality of work.)

 

Dependability: Rating:

(Could you depend on the student to get the job done in a timely fashion?)

 

Skills: Rating:

(Written skills, organizational skills, computer skills, telephone ettiqute etc.)

 

Interpersonal Skills: Rating:

(How did the student interact with peers, employees, supervisors, customers, clients etc.?)

 

Initiative: Rating:

(Did the student show initiative during the internship program? Did they show interest in the assigned projects?)

 

Punctuality: Rating:

(Company Policies and Procedures: Did the student arrive on time? Did they follow a dress code? Did they contact the supervisor if they were going to be late? Did they take any time off during the internship?)

 

Appearance: Rating:

(Poise, attire)

 

Contribution: Rating:

(Did the student work above and beyond the minimum requirements?)

 

 

Comments:

 

 

Signature: _______________________________________ Date: _______________

 

Sample Evaluation:
USAIntern