Student Intern Self Evaluation Form (Form C) printable pdf download

Student Intern Self Evaluation Form (Form C)

STUDENT INTERN SELF EVALUATION FORM (Form C)

Student Name: _______________________

Dates of Internship: ____________________

Student Phone: _______________________

Internship Site:________________________

Student Email: _______________________

Supervisor Name: _____________________

Please take a few minutes to evaluate your performance at the internship site.

Please evaluate yourself in comparison to other student interns/employees.

PART ONE: PERRFORMANCE REVIEW

Please rate your performance by checking the box that corresponds with your assessment of your performance in the

current internship.

Rating Scale:

Excellent =5

Performance significantly above proficiency level

Above Average = 4

Performance above proficiency level

Average = 3

Proficient performance

Improvement Needed = 2

Performance below proficiency level

Unsatisfactory = 1

Performance requires considerable improvement

Not Applicable =NA

Not applicable in this internship experience

WORK RELATED PERFORMANCE

1. Work attitude (ex. Initiative, enthusiasm)

2. Academic preparation

3. Problem-solving ability

4. Adaptability

5. Overall attendance

6. Progress towards learning goals

ORGANIZATIONAL SKILLS

7. Time management skills

8. Planning skills

Form continued

Student Intern Self Evaluation Form (Form C)