Lipscomb University Internship Program Final Internship Evaluation Form

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Lipscomb University Internship Program Final Internship Evaluation Form
Intern Name: _______________________________ Field Supervisor: _______________________________
Organization Name: ________________________________________________________________________
Field Supervisor:
▪ Please evaluate the student according the following rating scale.
▪ When finished, please sign, date, and seal this form in an envelope.
▪ Please sign across the sealed back to assure confidentiality of your evaluation and place into the mail
to the address provided at the bottom of the second page of this evaluation.
Unsatisfactory – never demonstrates this ability/does not meet expectations
1
Uncomplimentary – seldom demonstrates this ability/rarely meets expectations
2
Fair – sometimes demonstrates this ability/meets expectations
3
Commendable – usually demonstrates this ability/sometimes exceeds expectations
4
Exceptional – always demonstrates this ability/consistently exceeds expectations
5
Ability to Learn
1.
Asks pertinent and purposeful questions
1 2 3 4 5 NA
2.
Seeks out and utilizes appropriate resources
1 2 3 4 5 NA
3.
Accepts responsibility for mistakes and learns from experiences
1 2 3 4 5 NA
Reading/Writing/Computation Skills
1.
Reads/comprehends/follows written materials
1 2 3 4 5 NA
2.
Communicates ideas and concepts clearly in writing
1 2 3 4 5 NA
3.
Works with mathematical procedures appropriate to the job
1 2 3 4 5 NA
Listening and Oral Communication Skills
1.
Listens to others in an active and attentive manner
1 2 3 4 5 NA
2.
Effectively participates in meetings or group settings
1 2 3 4 5 NA
3.
Demonstrates effective verbal communication skills
1 2 3 4 5 NA
Creative Thinking and Problem Solving Skills
1.
Breaks down complex tasks/problems into manageable pieces
1 2 3 4 5 NA
2.
Brainstorms/develops options and ideas
1 2 3 4 5 NA
3.
Demonstrates an analytical capacity
1 2 3 4 5 NA
Professional and Career Development Skills
1.
Exhibits self-motivated approach to work
1 2 3 4 5 NA
2.
Demonstrates ability to set appropriate priorities/goals
1 2 3 4 5 NA
3.
Exhibits professional behavior and attitude
1 2 3 4 5 NA
Interpersonal and Teamwork Skills
1.
Manages and resolves conflict in an effective manner
1 2 3 4 5 NA
2.
Supports and contributes to a team atmosphere
1 2 3 4 5 NA
3.
Demonstrates assertive yet appropriate behavior
1 2 3 4 5 NA
Organizational Effectiveness Skills
Seeks to understand and support the organization’s mission/goals 1 2 3 4 5 NA
1.
2.
Fits in with the norms and expectations of the organization
1 2 3 4 5 NA
3.
Works within appropriate authority and decision-making channels 1 2 3 4 5 NA

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