Supervisor - Internship Host Exit Evaluation

Intern Name *

Department *

Supervisor *

Semester *

Year *

Grading

UNIVERSAL CORE COMPETENCIES

Please assign a numeric grade using the 1- 5 scale to each of the following skills, competencies, or behaviors.

Grading:

5 - Greatly exceeds expectations of performance

4 - Meeting expectations of performance

3 - Nearly meets expectations of performance – some refinement needed

2 - Needs improvement to meet expectations of performance

1 - Unsatisfactory – level of performance is well below expectations

Writing (1–5) *

Verbal (1–5) *

Listening (1–5) *

Interpersonal (1–5) *

Computer (1–5) *

Organizational (1–5) *

Time Management (1–5) *

Problem Solving (1–5) *

Analytical (1–5) *

Leadership (1–5) *

Section 2

MEETING A+ OUTCOMES

Attendance expectation (1–5) *

Quantity of work expectation (1–5) *

Quality of work expectation (1–5) *

Understanding/respect of structure and culture (1–5) *

Developed a network within host organization (1–5) *

Section 3

STRENGTHS VS CHALLENGES

Please rate the abilities that your intern excels in

Creativity (1–5) *

Flexibility (1–5) *

Positive attitude (1–5) *

Works well independently (1–5) *

Section 4

Please rate the abilities that your intern needs to improve on

Dress code (1–5) *

Taking initiative (1–5) *

Meeting deadlines (1–5) *

Section 5

COMMENTS & CONCERNS

How could the Internship Team better assist your intern?

Suggestions to improve the Internship Program experience

Any other remarks or observations

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Intern Exit Evaluation - Supervisor

Final Evaluation

UNIVERSAL CORE COMPETENCIES

MEETING A+ OUTCOMES

STRENGTHS VS CHALLENGES

COMMENTS & CONCERNS