Mid Internship Evaluation Form

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Mid Internship Evaluation Form (to be completed by supervisor at ½ completion)
Instructions: Students are responsible for providing this form to their supervisor. Supervisors should complete this mid internship
evaluation to provide constructive feedback to the intern. The critique below should be completed and discussed with the student midway
through the student’s internship to allow the student time to work on and rectify any deficiency areas.
Intern name: ______________________
Period of employment: From __________________________ To ________________________
Please circle the number that most closely corresponds with your evaluation of the intern,
according to this numeric scale:
5=strongly agree
4=agree
3=neutral
2=disagree
1=strongly disagree
Attitude Toward Work:
5
4
3
2
1
The student's attitude is positive and enthusiastic.
Initiative:
5
4
3
2
1
The intern is able to work with little direction.
Quality of Work:
5
4
3
2
1
The student's work is neat and accurate.
Adaptability:
5
4
3
2
1
The intern adapts quickly to new situations.
Dependability:
5
4
3
2
1
The intern is reliable in following directions.
Cooperation:
5
4
3
2
1
The intern is well accepted, tactful, and works
well with others.
Public Relations
5
4
3
2
1
The intern is able to communicate effectively
with the public.
Accepting Criticism, Direction
5
4
3
2
1
The intern accepts constructive criticism and uses it
to make improvements.
Potential for working in this field
5
4
3
2
1
This intern is well suited to this type of work.
Additional qualities you wish to rate:
__________________________________________
5
4
3
2
1
__________________________________________
5
4
3
2
1
Overall Performance:
5
4
3
2
1
Additional Comments: Use the back of this sheet
Supervisor's Signature __________________________________ Date: ________________
Phone: _______________
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