CAPS 790 MBA Internship Site Supervisor
Final Evaluation of Student Intern Form
Thank you for hosting a Davenport University MBA Program 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: __________________________________________________________________
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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”
DAVENPORT UNIVERSITY
EXCELLENCE SYSTEM OUTCOMES
Global &
Intercultural
Competence
Civic & Social
Responsibility
Ethical
Reasoning &
Action
Critical &
Creative
Thinking
Analysis &
Problem
Solving
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.
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.
Not
Proficient
1
Proficient
2
3
Excels
4
5
N/A
Not
Obs.
3
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.
Not
Proficient
1
Proficient
2
3
Excels
4
5
N/A
Not
Obs.
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SECTION II: MBA PROGRAM QUESTIONS
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 20% of the final course
grade. Please assign the student a number grade for his/her performance during the internship
based on the following scale:
Superior
Above average
Average
Failure
4.00
3.70
3.30
3.00
0.00
A
AB+
B
F
94-100%
90-93
87-89
83-86
72 and below
Please provide a specific number grade for the student’s performance in the internship:
Number grade (example: 91): ______
5
1
Strongly
Agree
SITE SUPERVISOR EVALUATION OF
DAVENPORT UNIVERSITY INTERNSHIP PROCESS
Strongly
Disagree
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. (Scale 1--Strongly Disagree to 6--Strongly Agree)
2
3
4
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
information of which I have knowledge.
Submitted By: _____________________________________
Phone Number: ____________________
Date: _____________________
E-Mail Address: ___________________________
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