SPONSOR EVALUATION OF INTERN
Please complete both sides of this form and return it to your intern in a sealed envelope or fax it to Samantha Candia
at 301-989-5609 or email Samantha_N_Candia@mcpsmd.org by Monday, March 21, 2016. If you have any
questions, please feel free to call me at 301-388-9911. Thank you.
Intern Name:____________________________________ Intern Email: ___________________________________
Internship Position: ______________________________________________________________________________
Name of Internship Location: ______________________________________________________________________
Address of Internship: ____________________________________________________________________________
Sponsor Name: _____________________________________ Sponsor Title:_________________________________
Sponsor Email:_____________________________________ Sponsor Phone: _______________________________
If this student was available for hire and if you had an opening would you hire him/her? Yes ___ No ___
Briefly relate the student’s strong and/or weak work habits: _____________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Would you make any recommendation that would help to prepare this student for his/her chosen career?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Any additional comments/feedback:
Please complete the Performance Evaluation on the Reverse Side
PERFORMANCE EVALUATION
Overall letter grade for my Intern’s effort over the quarter:
A
B
C
Criteria
D
Outstanding
E
Very
Good
Below
Average
Poor
N/A
Attendance
Punctuality
Meets deadlines
Interpersonal communication
Understands and follows directions
Shows judgment about when to seek further guidance,
when to be self-reliant
Demonstrates specific skills necessary to the position; e.g.,
writing, research, observation recording, graphic skills
Has open mind, does not rush to judgment
Accepts and makes positive use of criticism
Understands and accepts necessity of some repetitive tasks
Demonstrates problem solving orientation; looks for
positives in difficult situations; looks upon problems as
challenges
Is inquisitive
Has respect for the diversity of others
Recognizes and accepts own limitations
Willing to attempt new challenges
Understands difference and strikes balance between roles
of worker/student and between organization’s goals/own
goals
Use of technology
Signature of Supervisor:______________________________________ Date: _____________________