Undergraduate Internship Site Supervisor
Final Evaluation of Student Intern Form
Maine College of Business &
College of Technology
Thank you for hosting a Davenport University intern this semester. Please take a few minutes to
evaluate the competence and skills of your intern with regard to university and program outcomes
as well as your experience working with us to host an intern. Your feedback is extremely valuable
to us and will be used to improve our academic program curriculum and internship processes.
To be completed by the student’s Internship Site Supervisor
Student’s Name:__________________________________________________________
Name of Internship Organization:_____________________________________________
Address: ________________________________________________________________
Phone: _________________________ Fax: ____________________________________
Supervisor Name: ________________________________________________________
Supervisor Title: __________________________________________________________
Phone: __________________________Fax: ___________________________________
E-mail address: __________________________________________________________
Dates of internship: From: ___________ (month/year) To: __________ (month/year)
Total number of hours student has completed in the internship to date:________________
Final Evaluation Date: ______________________________________________________
SECTION I: DAVENPORT UNIVERSITY EXCELLENCE SYSTEM OUTCOMES
Using a scale of 1-5 where one indicates “NOT AT ALL PROFICIENT” and five indicates
“EXCELS,” please tell us the extent to which you feel your student intern is proficient or excels in
the areas listed below.
 “NOT PROFICIENT” means that the student lacks the skill or competency necessary for
success at an ENTRY level in the workplace.
 “PROFICIENT” means that the student has mastered the skill or competency at a level
necessary for success at an ENTRY level in the workplace.
 “EXCELS” means that the student has shown a skill level higher than the expectation of
ENTRY level in the workplace.
 If this is not a skill or competency that is necessary in the context of the work this intern was
performing, please select N/A = “Not Applicable.”
 If you did not have the opportunity to observe the student utilizing one of the competencies
listed below, please select Not Obs.=“Not Observed”
2
Not
Proficient
DAVENPORT UNIVERSITY
EXCELLENCE SYSTEM OUTCOMES
Global &
Intercultural
Competence
Civic & Social
Responsibility
Ethical
Reasoning &
Action
Critical &
Creative
Thinking
Interacting successfully with
people of other cultures and
backgrounds.
Taking into account diverse
ideas, opinions and values
when making decisions and
acting upon them.
Exhibiting appreciation of
different value systems.
Working collaboratively
within community contexts.
Behaving in a socially
responsible manner.
Recognizing complex,
ethical issues as they arise
in the workplace.
Behaving with integrity in
workplace interactions.
Identifying solutions to moral
and ethical problems.
Raising important questions.
Applying new perspectives
to existing situations.
Forming logical conclusions
supported by evidence.
Using innovative thinking.
Approaching a problem by
using a logical, systematic,
sequential approach.
Analysis &
Problem
Solving
Identifying contextually
relevant considerations in
analyzing a situation or
making a decision.
Interpreting and using data
to better understand
problems.
Proposing solutions that are
feasible for the workplace.
1
2
Proficient
Excels
3
5
4
N/A
Not
Obs.
3
Not
Proficient
DAVENPORT UNIVERSITY
EXCELLENCE SYSTEM OUTCOMES
Leadership &
Teamwork
Information
Technology
Proficiency
Written
Communication
Professional
Communication
Reinforcing team members for
their contributions.
Providing assistance,
information, and support to
others, to build or maintain
relationships with them.
Recognizing and encouraging
behaviors which contribute to
teamwork.
Using technology appropriately
and efficiently to access needed
information (web browsers,
databases, etc.)
Using technology appropriately
to effectively communicate with
others (email, instant
messaging, social media, etc.)
Using software including, word
processing, spreadsheets,
presentations effectively.
Exhibiting appropriate depth of
knowledge and skill in
technology to perform projects
assignments.
Producing documents
appropriate to the
purpose/context of the
professional setting.
Expressing ideas clearly and
concisely in writing.
Using appropriate mechanics,
punctuation and sentence
structure in written documents.
Establishing professional
relationships.
Tailoring communications to
effectively reach the intended
audience.
Expressing themselves clearly
in conversations and
interactions with others.
Wearing appropriate attire in the
workplace.
1
2
Proficient
Excels
3
5
4
N/A
Not
Obs.
4
SECTION II: General Comments on the Intern’s Performance & Recommended Grade
Please see below to provide general comments, assign a graded evaluation for the student’s
performance in the internship, and to sign the evaluation.
As the site supervisor, please provide your overall impression of the student’s performance. This
can be based on how well the student met the requirements of the position description, learning
contract, or other established workplace standards.
The Site Supervisor’s graded evaluation of the student counts as a significant percentage of
the final course grade. Please assign the student a number grade for his/her performance
during the internship based on the following scale:
A
100-93
C+
79-77
AB+
B
B-
92-90
89-87
86-83
82-80
C
CD+
D
F
76-73
72-70
69-67
66-63
62-0
Please provide a specific number grade for the student’s performance in the internship:
Number grade (example: 91): ______
5
SECTION III: DAVENPORT UNIVERSITY INTERNSHIP PROCESS
At Davenport University (DU) we strive to continually improve our academic processes. Please
provide us with feedback about your experience working with DU on this internship by rating your
level of agreement with the following statements.
1
Strongly
Agree
SITE SUPERVISOR EVALUATION OF
DAVENPORT UNIVERSITY INTERNSHIP PROCESS
Strongly
Disagree
Scale: 1=Strongly Disagree to 6=Strongly Agree
2
3
4
5
6
I have a good understanding of the process for obtaining
a Davenport intern.
I have a good understanding of the process for
supervising a Davenport intern.
I have a good understanding of the process for evaluating
a Davenport intern.
The Davenport Experiential Learning Internship
Agreement clearly explains my responsibilities as a site
supervisor/preceptor for the internship.
The Davenport faculty or staff member overseeing this
student intern adequately communicated the internship
guidelines, practices, and expectations to me.
I had sufficient contact with the Davenport faculty or staff
member overseeing this student intern.
Hosting this student intern met the expectations of my
organization.
My organization would host another Davenport University
Internship student.
I certify that the responses given on this evaluation are based on observations I have made or on
information of which I have knowledge.
Internship Site Supervisor:
Submitted By: _______________________
Phone Number:_______________________
Date: _______________________________
E-Mail Address:________________________
DU Internship Student:
Student Signature:
_______________________
Date of Review of Evaluation with Site Supervisor: _________________________