Center for Environmental Sciences and Education INTERNSHIP MID-TERM EVALUATION (to be completed by the Agency Supervisor) The Internship Mid-Term Evaluation provides a description of the student’s performance up to the midpoint of the Internship. It also provides the student with an assessment of his or her abilities and overall performance and suggests areas for improvement. The Agency Supervisor should complete this form the third or fourth of the internship (not the last minute). After discussing the evaluation with the student, the student should sign and forward it to his or her Faculty Supervisor. Agency: __________________________________________________________________ Agency Address:__________________________________________________________ __________________________________________________________________ Telephone: __________________________________ Describe the student’s overall performance, including any particular strengths, and note areas for further development. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _______________________ _______________________ ______________ Agency Supervisor Signature Date ________________________ ______________________ ______________ Student Signature Date ________________________ ______________________ ______________ Faculty Supervisor Signature Date Student Name________________________________ Date________ Please indicate how the student is performing in the following areas, using 1 as the lowest and 10 as the highest value. (Feel free to add notes.) 1. General work habits. 1 2 3 4 5 6 7 8 9 10 needs improvement ___ a positive example for others___ 2. Dress and deportment appropriate for workplace, for example at presentations/meetings. 1 2 3 4 5 6 7 8 9 10 needs improvement ___ a positive example for others___ 3. Familiarity with the organization (relative to the length of time with organization). 1 2 3 4 5 6 7 8 9 10 9 10 needs improvement ___ a positive example for others___ 4. Familiarity with the project. 1 2 3 4 5 6 7 8 needs improvement ___ a positive example for others___ 5. Shows initiative to seek background and/or new information. 1 2 3 4 5 6 7 8 9 10 9 10 9 10 needs improvement ___ a positive example for others___ 6. Is able to work independently. 1 2 3 4 5 6 7 8 needs improvement ___ a positive example for others___ 7. Writing skills. 1 2 3 4 5 6 7 8 needs improvement ___ a positive example for others___ 8. How well would you say the Center for Environmental Sciences and Education has prepared the student? 1 2 3 4 5 6 7 8 9 needs improvement ___ a positive example for other institutions___ 10