Intern Assessment

Department of Leadership Studies

*To be completed by Internship Supervisor at the conclusion of the internship*

Intern First Name:

Intern Last Name:

Placement Site:

Supervisor's Name:

Supervisor's Position:

Period Evaluated:

From: To:

Please indicate on a five-point scale your rating of the intern with 1 being low and 5 being high. Space is available below each item for your comments.

Ineffective
Below Average
Adequate
Above Average
Outstanding
1. Interactions with colleagues:
2
3
4
5
Comments:
2. Interactions with superordinates
2
3
4
5
Comments:
3. Interactions with subordinates
2
3
4
5
Comments:
4. Oral Communication Skills
2
3
4
5
Comments:
5. Written Communication Skills
2
3
4
5
Comments:
6. Attention to personal growth
2
3
4
5
Comments:
7. Ability to contribute Independently
2
3
4
5
Comments:
8. Leadership of Groups
2
3
4
5
Comments:
9. Dependability
2
3
4
5
Comments:

10. Were internship objectives accomplished?
Yes Partially
Comments:
11. How would you describe the relationship between you and your intern?
Formal Cautious Sharing Open Co-Learning
Comments:
12. If an appropriate administrative position came open in your organization, would you employ or recommend this intern for employment?
Unsure
Comments:
Please feel free to comment on other areas not discussed above: