Student’s Name
Site Supervisor
Internship Site
	(Name of sponsoring organization)
Address
Telephone
Email

Semester & Year

Please Briefly Describe the Intern’s responsibilities:

Using the variables listed below, please evaluate the student intern in relation to her performance at your site this semester. When rating her, it is important to consider the terms of the internship contract to which both you and the intern agreed.
	Excellent	Above average	Average	Below average	Poor	Not observed
Willingness to learn
Ability to learn
Ability to work independently
Ability to work under pressure
Ability to follow instructions
Meeting deadlines/follow-through
Attendance
Punctuality
Maturity
Overall attitude

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continued
	Excellent	Above average	Average	Below average	Poor	Not observed
Accepting and using constructive criticism
Creativity
Resourcefulness
Initiative
Communication skills (verbal)
Communications skills (written)
Quality of work
Potential for success in the profession
Overall performance

Please use the space below, or other sheets, to explain any of the above ratings (whether they are positive, neutral or negative) that you believe would benefit her and/or her faculty sponsor in assessing the intern’s performance at the site.

1. What do you consider the intern’s principal strengths?

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2

3

4

5

6

2. What do you consider the intern’s principal Weaknesses?

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2

3

4

5

6

3. How might she improve her skills?

4. If Applicable, how does this intern compare with other interns you have supervised?
Better	Equal To	Less Satisfactory

Please Explain

Signatures:

Supervisor	DATE
Intern	DATE
Faculty Sponsor	DATE