I.
T o Be Completed By Intern
Name:
___________________________________
Student ID#
: ______________________________
Semester/Year
____________________________
Agency Name
: ____________________________
_________________________________________
Name
: ___________________________
Title:
_________________
Address
: _______________________________________________
_______________________________________________________
E-Mail:
________________________________________________
Phone
: _______________________
FAX
____________________
II To Be Completed by Intern’s Supervisor:
Please rate the intern on the characteristics listed below using 1 to 5 or X , indicating the interns standing among peers.
1 - Outstanding (top 5%)
2 - Superior (next highest 10%)
3 (between
4 - Above Average (between 50% and 75%)
5 - Below Average (below 50%)
X - Inadequate Opportunity to Observe
General Intellectual Skills
1
___ Overall Intelligence
1
___ Analytical Ability
1
___ Speaking Ability
1
___ Writing Ability
1
___ Research Ability
1
___ Logical Rigor
1
___ Originality
1
___ Overall standing among peers
Professional Skills
1
___ Initiative
1 ___ Integrity
1 ___ Overall Professionalism
1 ___ Organizational Ability
1 ___ Perseverance
1 ___ Motivation
1 ___ Dependability
1 ___ Punctuality
1
___ Follows direction
1
___ Assignments completed promptly
1
___ Attention to details
1 ___ Resourcefulness
1 ___ Commitment
1 ___ Vigorous capacity for work
1 ___ Overall standing among peers
Social Skills
1
___ Overall ability in interpersonal relations
1
___ Maturity
1
___ Poise
1
___ Congeniality
1
___ Sensitivity
1
___ Sense of humor
1
___ Sense of perspective
1
___ Candor
1
___ Judgment
1
___ Overall standing among peers
1 ___ Overall standing among peers in intellectual, professional, and social skills.
II Based on this intern’s performance in your office would you recommend this intern for fulltime employment in your office or a similar office.
___ Yes
___ No

Please provide any additional comments or suggestions which you think may be helpful in evaluating this intern.
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(signature) Supervisor
Please Return to:
Assistant Professor Mark T. Imperial
MPA Internship Program Director
Department of Political Science
_______________________
Date
601 S. College Road
Wilmington, NC 28403-3297
E-mail: imperialm@uncw.edu
FAX: 910-962-3286
(revised 11/11)