Department of Leadership Studies
First Name:
Last Name:
Placement Site:
Internship Supervisor:
1. Rate the value of your experience in terms of your growth as a leader: extremely valuable quite valuable somewhat valuable not valuable
Explain your response:
2. Would you recommend this site to other Leadership Program students who want to do a leadership internship? Yes No
Evaluation of the Internship Supervisor:
Please check the answer that best indicates your view of your relationship with the internship supervisor/mentor.
The Internship Supervisor -
1. was a good role model:
2. demonstrated a professional attitude:
3. value of the supervision received:
4. Overall rating of the internship supervisor:
My internship supervisor was most helpful to me by:
My internship supervisor could have been more helpful to me by:
