Intern Performance Scorecard
Name
First Name
Last Name
Evaluator
First Name
Last Name
Starting Date
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Ending Date
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Job Responsibilities
Please rate the interns on the following based on your overall experience
Rows
Very Good
Good
Fair
Improvement Required
Poor
Enthusiasm/interest
1
2
3
4
5
Likability (did you "click")?
6
7
8
9
10
Communication skills
11
12
13
14
15
Managers are encouraged to complete the form and review it with their intern in a scheduled one-to-one meeting. Please rate the inter's performance in the following areas:
Rows
Very Good
Good
Fair
Improvement Required
Poor
Quality of work (accurate and thorough)
16
17
18
19
20
Use of time (Use of time to complete tasks)
21
22
23
24
25
Takes Initiative (ability to work independently)
26
27
28
29
30
Grasp of Subject ( understanding of applicable standards and procedures)
31
32
33
34
35
Judgement Skills ( ability to make appropriate work related decisions)
36
37
38
39
40
Interpersonal relations/teamwork ( effectiveness in working with peers and mentors)
41
42
43
44
45
Adaptability ( ability to alter activities to accommodate change)
46
47
48
49
50
Problem solving/critical thinking skills
51
52
53
54
55
Dependability - Punctuality
56
57
58
59
60
Dependability - Attendance
61
62
63
64
65
Communication skills - Verbal
66
67
68
69
70
Communication skills - Written
71
72
73
74
75
Broad Performance Goals?
Performance Comments
What skills do you think intern developed?
What were the interns primary strengths?
What recommendations would you suggest for his/her improvement/next placement?
Signature
Rating Scale
Poor
1
2
3
4
Very Good
5
1 is Poor, 5 is Very Good
Submit
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