Lipscomb University Internship Program Final Internship Evaluation Form (Page 2 of 2) in pdf

Lipscomb University Internship Program Final Internship Evaluation Form Page 2

Basic Work Habits

Reports to work as scheduled and on-time

1 2 3 4 5 NA

Exhibits a positive and constructive attitude

1 2 3 4 5 NA

Dress and appearance are appropriate for this organization

1 2 3 4 5 NA

Character Attributes

Behaves in an ethical manner

1 2 3 4 5 NA

Respects the diversity of co-workers

1 2 3 4 5 NA

Objectives (intern should fill in this section with his or her chosen objectives)

1 2 3 4 5 NA

Comments/ Suggestions

Overall performance of the intern during the internship placement:

Unsatisfactory

Poor

Average

Good

Outstanding

□

Please share the results of this evaluation and my comments with the intern.

□

Please do not share the results of this evaluation with the intern.

I want my ratings and comments to remain confidential.

__________________________________

__________________

Field Supervisor’s Signature

Date

Attention: There are 2 options to submitting the Final Evaluation

1. Please complete this form and scan and email to

Allison.west@lipscomb.edu

2. Please complete and seal the Final Evaluation in an envelope. Sign across the sealed back to assure

confidentiality of your evaluation. Return to:

LU Career Development, Attn: Allison West

One University Park Drive, Nashville, TN 37204-3951

Lipscomb University Internship Program Final Internship Evaluation Form Page 2