1
INTERNSHIP SUPERVISOR EVALUATION FORM
This evaluation is designed primarily to provide feedback on job performance and related issues to
assist the student. This
form is to be completed and submitted at the end of the semester.
SUPERVISOR
INFORMATION
NAME:
JOB TITLE:
ORGANIZATION’S NAME:
PHONE NUMBER:
EMAIL ADDRESS:
INTERNSHIP
INFORMATION
STUDENT’S NAME:
STARTING DATE (DD/MM/YYYY):
COMPLETION DATE (DD/MM/YYYY):
ABOUT THE
INTERN
1. Please evaluate this student intern
on the following items by checking the
appropriate rating.
Excellent
Satisfactory
N
ee
ds
Imp
r
o
veme
nt
Unsatisfactory
Not
Appl
ic
ab
le
Arrived to work on-time
Behaved in a professional
manner
Effectively performed
assignments
Oral communication skills
Written communication skills
Computer Skills
Ability to work with others
Ability to adapt to a variety of
tasks
Decision-making, setting
priorities
Reliability and dependability
Attention to accuracy and details
2
Willingness to ask for help and
guidance
Quality of work
Demonstrated critical thinking
and problem solving skills
Making and meeting deadlines
Seemed interested and in and
enthusiastic about the internship
experience
2.
Describe the ways in which the intern’s performance benefited your organization.
3.
What development have you observed in the student’s skills, knowledge, personal and/or
professional performance?
4.
What do you consider to be the intern’s strengths?
5.
In what areas does the intern need to improve?
6.
Overall, how do you rate your experience with this
intern
Excellent
Good
Average
Poor
ABOUT THE INTERNSHIP
EXPERIENCE
1.
What are your suggestions for improving the Department of Information Technology’s internship program?
2.
Based on your experience, would you supervise other Department of Information Technology interns or
recommend
the internship program to others?
3.
Do you have any other comments that will help the Department and our students?
3
4.
Overall, how do you rate your experience with this
internship?
Excellent
Good
Average
Poor
SUPERVISOR’S SIGNATURE
DATE