Instructor Intern Evaluation Form

Intern Evaluation
Name*
First NameLast Name
Employee ID*
Date*
MonthDayYear
Intern Name*
Job Title*
Department*
The purpose of this form is to provide the intern with feedback about the intern's work and professional skills and competencies. Please be objective and candid in your assessment and discuss this with the intern.

The assessment ratings range from1-4 are as follows:

1 = Unsatisfactory	Never demonstrates this ability / does not meet expectations
2 = Needs Improvement	Seldom demonstrates this ability / rarely meets expectations
3 = Good	Usually demonstrates this ability / sometimes exceed expectations
4 = Excellent	Always demonstrates this ability / consistently exceeds expectations
N/A = Not Applicable	Not applicable to this internship experience

Ability to Learn

	1	2	3	4	N/A
Observes and/or pays attention to others.
Asks pertinent and purposeful questions.
Seeks out and utilizes appropriate resources.
Accepts responsibility for mistakes and learns from experiences.
Open to new experiences; takes appropriate risks.

Computation Skills / Reading / Writing

	1	2	3	4	N/A
Reads, comprehends, and follows written materials.
Communicates ideas and concepts clearly in writing.
Works with mathematical procedures appropriate for the assigned duties.

Listening and Oral Communication Skills

	1	2	3	4	N/A
Listens to others in an active and attentive manner.
Comprehends and follows verbal instructions.
Effectively participates in meetings or group settings.
Demonstrates effective verbal communication skills.

Please describe your overall experience with the intern.
Did you feel that your supervision time, along with the tasks/projects assigned, were effective in meeting the intern's needs for this experience? Please explain.
Were there any issues or complaints about the intern on the job site? Please explain.
Were you and your intern able to build a comfortable working relationship? Please explain.
Intern assumed additional responsibilities as their experience increased.
AgreeNeutralDisagree
The intern came to me with any problems related to the assigned projects. Please explain.
What were the intern's major tasks during this period? Please explain.
Please list any meetings the intern attended.
Would you recommend the intern for re-employment next summer? Please explain.
Additional Comments:
Should be Empty:

	1	2	3	4	N/A
Seeks to comprehend and understand the "big picture".
Breaks down complex tasks/problems into manageable pieces.
Brainstorms/develops options and ideas.
Respects input and ideas from other sources and people.
Demonstrates an analytical capacity.

	1	2	3	4	N/A
Seeks to understand personal strengths and weaknesses.
Exhibits self-motivated approach to work.
Demonstrates ability to set appropriate priorities/goals.
Exhibits professional behavior and attitude.
Manages personal expectations consistent with work role.
Shows interest in determining career direction.

	1	2	3	4	N/A
Relates to co-workers/team members effectively.
Manages and resolves conflicts in an effective manner.
Supports and contributes to a team atmosphere.
Controls emotions in a manner appropriate for work.
Demonstrates assertive but appropriate behavior.

	1	2	3	4	N/A
Seeks to understand and support the organization's mission/goals.
Fits in with the norms and expectations of the organization.
Demonstrates a sense of responsibility and confidentiality.
Interacts effectively and appropriately with supervisor.

	1	2	3	4	N/A
Reports to work as scheduled.
Is prompt in showing up for work and meetings.
Exhibits a positive and constructive attitude.
Brings a sense of values and integrity to the job.
Behaves in an ethical and professional manner.