In order to assess the competence and effectiveness of the Intern, your evaluation as the Organization Supervisor is vital. Please complete the following form (at the conclusion of the 5th week of the internship), emphasizing the unique strengths and/or areas needing improvement for this student. Thank you for your time and consideration in this matter.

ExcellentGoodSatisfactoryPoorNot Applicable
Identify and conform to agency rules and regulations *
Get along with Staff/Others *
Be punctual and dependable *
Follow instructions *
Work without close supervision *
Ask appropriate questions *
Conduct himself/herself professionally *
Follow through and complete tasks on time *
Look for responsibilities, take initiative *
ExcellentGoodSatisfactoryPoorNot applicable
Verbal communication *
Written communication *
Basic knowledge of the field *
Inquisitive *
Ability to deal with criticism *
Ability to work well with others *
Ability to work independently *
Ability to organize time *
Acceptance of responsibility *