Student Intern Self Evaluation Form (Form C) (Page 2 of 2) in pdf

Student Intern Self Evaluation Form (Form C) Page 2

RELATIONSHIPS WITH OTHERS

9. Willingness to cooperate with co-workers

10. Ability to work with supervisor

11. Acceptance of constructive comments

12. Ability to take direction

COMMUNICATIONS SKILLS

13. Oral communication skills

14. Written communication skills

15. Listening skills

OVERALL RATING

PART TWO: ACCOMPLISHMENTS

Please provide the following information about your internship experience. If additional space is needed, please attach

an additional page to this evaluation.

1) Identify the most important learning goals you had set for yourself when beginning the

internship.

2) How well do you feel you accomplished these goals in this internship?

3) List the activities that allowed you to accomplish your goals.

4) Identify any specific knowledge or skills gained during this internship that have enhanced your professional

development.

5) Describe any noteworthy accomplishments you achieved during this internship.

Student Signature:_______________________________________ Date:____/____/_____

Student Intern Self Evaluation Form (Form C) Page 2